Southern Family Medicine
NPI #1982608691 in Collins, Mississippi
Provider Information
- NPI Number
- 1982608691
- Entity Type
- Organization
- Organization Name
- Southern Family Medicine
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jun 9, 2005
- Last Updated
- Jan 22, 2019
Practice Location
- Address
- 603 S HOLLY AVE
- City
- Collins
- State
- Mississippi
- ZIP Code
- 39428-3801
- Phone
- (601) 765-9393
Authorized Official
- Name
- DR. JASON GREGORY BEASLEY, MD
- Title
- OWNER
- Phone
- (601) 765-9393
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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