D'iberville Medical Clinic LLC
NPI #1629536925 in Diberville, Mississippi
Provider Information
- NPI Number
- 1629536925
- Entity Type
- Organization
- Organization Name
- D'iberville Medical Clinic LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 5, 2019
- Last Updated
- May 2, 2019
Practice Location
- Address
- 11516 LAMEY BRIDGE RD
- Address 2
- STE 1
- City
- Diberville
- State
- Mississippi
- ZIP Code
- 39540-2725
- Phone
- (228) 207-4190
Authorized Official
- Name
- MR. JERRY R ADKINS
- Title
- ADMINISTRATOR
- Phone
- (228) 861-6049
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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