Horn Lake Family Practice INC
NPI #1508968421 in Horn Lake, Mississippi
Provider Information
- NPI Number
- 1508968421
- Entity Type
- Organization
- Organization Name
- Horn Lake Family Practice INC
- Primary Specialty
- Family Medicine - Adolescent Medicine
- Enumeration Date
- Sep 1, 2006
- Last Updated
- Jul 21, 2015
Practice Location
- Address
- 3102 GOODMAN RD W
- City
- Horn Lake
- State
- Mississippi
- ZIP Code
- 38637-1172
- Phone
- (662) 342-6677
Authorized Official
- Name
- MR. SHEETAL SHARMA, OTHER
- Title
- OFFICE MANAGER
- Phone
- (662) 342-6677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adolescent Medicine — Adolescent Medicine |
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