Potts Camp Family Medical Clinic
NPI #1942519517 in Potts Camp, Mississippi
Provider Information
- NPI Number
- 1942519517
- Entity Type
- Organization
- Organization Name
- Potts Camp Family Medical Clinic
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Sep 30, 2010
- Last Updated
- Sep 30, 2010
Practice Location
- Address
- 3 REIDS ALLEY
- City
- Potts Camp
- State
- Mississippi
- ZIP Code
- 38659
- Phone
- (662) 333-4333
Authorized Official
- Name
- MRS. ALICE STINE
- Title
- BUSINESS MANAGER
- Phone
- (662) 333-4333
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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