institution
Psp Medical Clinic Llc
Rural Health Clinic/Center in Canton, Mississippi
NPI 1225320708

Psp Medical Clinic Llc is a Rural Health Clinic/Center based in Canton, MS and is specialized in Rural Health. Psp Medical Clinic Llc practices in Canton, MS. The NPI Number for Psp Medical Clinic Llc is 1225320708 and holds a License No. 15405 (Mississippi).

The current practice location address for Psp Medical Clinic Llc is 1171 Hart St, Canton, MS and can be reached out via phone at 601-859-9888 and via fax at 601-859-9004.

Location: 1171 Hart St, Canton, MS, 39046-0607
institution
Provider Profile Details
NPI Number
1225320708
Provider Name
Psp Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
1171 Hart St, Canton, MS, 39046-0607
Phone Number
601-859-9888
Fax Number
601-859-9004
Provider Enumeration Date
05/03/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
06572715 05 MS
07228530 05 MS
00118231 05 MS
02679823 05 MS
09238061 05 MS
institution
Provider Business Practice Location Address Details
Address
1171 Hart St
City
State
Zip
39046-4805
Phone Number
601-859-9888
Fax Number
601-859-9004
person
Provider Business Mailing Address Details
Address
1171 Hart St
City
State
Zip
39046-4805
Phone Number
601-859-9888
Fax Number
601-859-9004
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
15405 (Mississippi)
Definition
Definition to come...
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