Psp Medical Clinic LLC
NPI #1932144243 in Canton, Mississippi
Provider Information
- NPI Number
- 1932144243
- Entity Type
- Organization
- Organization Name
- Psp Medical Clinic LLC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 19, 2006
- Last Updated
- Apr 6, 2021
Practice Location
- Address
- 1171 HART ST
- City
- Canton
- State
- Mississippi
- ZIP Code
- 39046-4805
- Phone
- (601) 859-9888
Authorized Official
- Name
- MRS. NEELAM GOEL
- Title
- MANAGER
- Phone
- (601) 859-9888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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