Internal Medicine Clinic of Clarksdale
NPI #1457554479 in Clarksdale, Mississippi
Provider Information
- NPI Number
- 1457554479
- Entity Type
- Organization
- Organization Name
- Internal Medicine Clinic of Clarksdale
- Primary Specialty
- Specialist
- Enumeration Date
- Jun 7, 2007
- Last Updated
- Jan 14, 2019
Practice Location
- Address
- 1967 HOSPITAL DR
- City
- Clarksdale
- State
- Mississippi
- ZIP Code
- 38614-7203
- Phone
- (662) 624-5481
Authorized Official
- Name
- SANDRA BLOUNT
- Title
- OFFICE MANAGER
- Phone
- (662) 624-5481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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