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Internal Medicine Clinic Of Clarksdale
Specialist in Clarksdale, Mississippi
NPI 1457554479

Internal Medicine Clinic Of Clarksdale is a Specialist based in Clarksdale, MS. Internal Medicine Clinic Of Clarksdale practices in Clarksdale, MS. The NPI Number for Internal Medicine Clinic Of Clarksdale is 1457554479 and holds a License No. 16074 (Mississippi).

The current practice location address for Internal Medicine Clinic Of Clarksdale is 1967 Hospital Dr, Clarksdale, MS and can be reached out via phone at 662-624-5481.

Location: 1967 Hospital Dr, Clarksdale, MS, 38614-7203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457554479
Provider Name
Internal Medicine Clinic Of Clarksdale
Credential
Provider Entity Type
Organization
Address
1967 Hospital Dr, Clarksdale, MS, 38614-7203
Phone Number
662-624-5481
Fax Number
Provider Enumeration Date
06/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00119669 05 MS
07922048 05 MS
institution
Provider Business Practice Location Address Details
Address
1967 Hospital Dr
City
Clarksdale
State
Mississippi
Zip
38614-7203
Phone Number
662-624-5481
Fax Number
person
Provider Business Mailing Address Details
Address
1967 Hospital Dr
City
Clarksdale
State
Mississippi
Zip
38614-7203
Phone Number
662-624-5481
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
16074 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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