Acute Care & Family Clinic of Pontotoc
NPI #1356459069 in Pontotoc, Mississippi
Provider Information
- NPI Number
- 1356459069
- Entity Type
- Organization
- Organization Name
- Acute Care & Family Clinic of Pontotoc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Aug 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 351 A PEOPLES DR
- City
- Pontotoc
- State
- Mississippi
- ZIP Code
- 38863-8990
- Phone
- (662) 489-2777
Authorized Official
- Name
- GENA A VAIL
- Title
- OWNER
- Phone
- (662) 534-7777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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