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Psp Medical Clinic
Primary Care Clinic/Center in Madison, Mississippi
NPI 1245581370

Psp Medical Clinic is a Primary Care Clinic/Center based in Canton, MS and is specialized in Primary Care. Psp Medical Clinic practices in Madison, MS. The NPI Number for Psp Medical Clinic is 1245581370 and holds a License No. (Mississippi).

The current practice location address for Psp Medical Clinic is 1082A Gluckstadt Rd, Madison, MS and can be reached out via phone at 601-707-5621.

Location: 1082A Gluckstadt Rd, Madison, MS, 39046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245581370
Provider Name
Psp Medical Clinic
Credential
Provider Entity Type
Organization
Address
1082A Gluckstadt Rd, Madison, MS, 39046
Phone Number
601-707-5621
Fax Number
Provider Enumeration Date
09/28/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25D1087086 01 MS CLIA
institution
Provider Business Practice Location Address Details
Address
1082A Gluckstadt Rd
City
Madison
State
Mississippi
Zip
39110-7243
Phone Number
601-707-5621
Fax Number
person
Provider Business Mailing Address Details
Address
1082A Gluckstadt Rd
City
Madison
State
Mississippi
Zip
39110-7243
Phone Number
601-707-5621
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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