Lakeland Family Clinic Pllc

NPI #1669648614 in Flowood, Mississippi

Provider Information

NPI Number: 1669648614
Entity Type: Organization
Organization Name: Lakeland Family Clinic Pllc
Primary Specialty: Family Medicine
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 1000 LAKELAND SQUARE EXT
Address 2: SUITE 800
City: Flowood
State: Mississippi
ZIP Code: 39232
Phone: (601) 939-9811

Authorized Official

Name: DR. CHARLES H WILLIAMS, MD
Title: OWNER
Phone: (601) 939-9811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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