Grace & Mercy Family Medical Clinic, Pllc
NPI #1629267653 in Jackson, Mississippi
Provider Information
- NPI Number
- 1629267653
- Entity Type
- Organization
- Organization Name
- Grace & Mercy Family Medical Clinic, Pllc
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 16, 2007
- Last Updated
- Dec 10, 2012
Practice Location
- Address
- 2106 RAYMOND RD
- Address 2
- SUITE A
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39212-2300
- Phone
- (601) 373-1055
Authorized Official
- Name
- DR. RHONDA M. ODOM-FUNCHES, M.D.
- Title
- OWNER
- Phone
- (601) 373-1055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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