Faith Family Clinic, LLC

NPI #1831288281 in Booneville, Mississippi

Provider Information

NPI Number
1831288281
Entity Type
Organization
Organization Name
Faith Family Clinic, LLC
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Oct 12, 2006
Last Updated
Oct 14, 2011

Practice Location

Address
2209 N 2ND ST
ZIP Code
38829-7734
Phone
(662) 728-0162

Authorized Official

Name
MRS. KELLY BERNICE THORNTON, APRN, BC
Title
FAMILY NURSE PRACTITIONER/CO-OWNER
Phone
(662) 415-0270

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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