Picayune Family Practice Clinic, LLC
NPI #1972771806 in Picayune, Mississippi
Provider Information
- NPI Number
- 1972771806
- Entity Type
- Organization
- Organization Name
- Picayune Family Practice Clinic, LLC
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Feb 13, 2008
- Last Updated
- Feb 13, 2008
Practice Location
- Address
- 422 MEMORIAL BLVD
- City
- Picayune
- State
- Mississippi
- ZIP Code
- 39466-5544
- Phone
- (601) 798-2151
Authorized Official
- Name
- MRS. AMY ALI, FNP
- Title
- OWNER
- Phone
- (228) 385-7715
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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