Nettleton Family Clinic

NPI #1386868719 in Nettleton, Mississippi

Provider Information

NPI Number: 1386868719
Entity Type: Organization
Organization Name: Nettleton Family Clinic
Primary Specialty: Family Medicine
Enumeration Date: Apr 13, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 182 WEST MAIN ST
City: Nettleton
State: Mississippi
ZIP Code: 38858
Phone: (662) 963-3634

Authorized Official

Name: CHRIS DEDEAUX
Title: CLINIC ADMINISTRATOR
Phone: (662) 256-7112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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