institution
Bethany Medical Clinic, Llc
Family Nurse Practitioner in Cleveland, Mississippi
NPI 1487792032

Bethany Medical Clinic, Llc is a Family Nurse Practitioner based in Cleveland, MS and is specialized in Family. Bethany Medical Clinic, Llc practices in Cleveland, MS. The NPI Number for Bethany Medical Clinic, Llc is 1487792032 and holds a License No. R793654 (Mississippi).

The current practice location address for Bethany Medical Clinic, Llc is 548 East Rosemary Road, Cleveland, MS and can be reached out via phone at 662-846-5032 and via fax at 662-846-5034.

Location: 548 East Rosemary Road, Cleveland, MS, 38732-0358
institution
Provider Profile Details
NPI Number
1487792032
Provider Name
Bethany Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
548 East Rosemary Road, Cleveland, MS, 38732-0358
Phone Number
662-846-5032
Fax Number
662-846-5034
Provider Enumeration Date
02/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07021837 05 MS
institution
Provider Business Practice Location Address Details
Address
548 East Rosemary Road
City
State
Zip
38732
Phone Number
662-846-5032
Fax Number
662-846-5034
person
Provider Business Mailing Address Details
Address
548 East Rosemary Road
City
State
Zip
38732
Phone Number
662-846-5032
Fax Number
662-846-5034
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R793654 (Mississippi)
Definition
Definition to come...
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