institution
Fondren Medical Clinic
Primary Care Clinic/Center in Jackson, Mississippi
NPI 1043573199

Fondren Medical Clinic is a Primary Care Clinic/Center based in Jackson, MS and is specialized in Primary Care. Fondren Medical Clinic practices in Jackson, MS. The NPI Number for Fondren Medical Clinic is 1043573199 and holds a License No. (Mississippi).

The current practice location address for Fondren Medical Clinic is 4436 N State St, Jackson, MS and can be reached out via phone at 769-257-5339. You can also correspond with Fondren Medical Clinic through the mailing address at 4436 N STATE ST, JACKSON, MS - 39206-5334 (mailing address contact number: 769-257-5339).

Location: 4436 N State St, Jackson, MS, 39206-5334
institution
Provider Profile Details
NPI Number
1043573199
Provider Name
Fondren Medical Clinic
Credential
Provider Entity Type
Organization
Address
4436 N State St, Jackson, MS, 39206-5334
Phone Number
769-257-5339
Fax Number
Provider Enumeration Date
06/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00125523 05 MS
institution
Provider Business Practice Location Address Details
Address
4436 N State St
City
State
Zip
39206-5334
Phone Number
769-257-5339
Fax Number
person
Provider Business Mailing Address Details
Address
4436 N State St
City
State
Zip
39206-5334
Phone Number
769-257-5339
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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