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Horn Lake Family Practice Inc
Adolescent Medicine (Family Medicine) Physician in Horn Lake, Mississippi
NPI 1508968421

Horn Lake Family Practice Inc is an Adolescent Medicine (Family Medicine) Physician based in Horn Lake, MS and is specialized in Adolescent Medicine. Horn Lake Family Practice Inc practices in Horn Lake, MS. The NPI Number for Horn Lake Family Practice Inc is 1508968421 and holds a License No. 15476 (Mississippi).

The current practice location address for Horn Lake Family Practice Inc is 3102 Goodman Rd W, Horn Lake, MS and can be reached out via phone at 662-342-6677 and via fax at 662-342-1213.

Location: 3102 Goodman Rd W, Horn Lake, MS, 38637-1172
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1508968421
Provider Name
Horn Lake Family Practice Inc
Credential
Provider Entity Type
Organization
Address
3102 Goodman Rd W, Horn Lake, MS, 38637-1172
Phone Number
662-342-6677
Fax Number
662-342-1213
Provider Enumeration Date
09/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00118511 05 MS
9015003 05 MS
institution
Provider Business Practice Location Address Details
Address
3102 Goodman Rd W
City
Horn Lake
State
Mississippi
Zip
38637-1172
Phone Number
662-342-6677
Fax Number
662-342-1213
person
Provider Business Mailing Address Details
Address
3102 Goodman Rd W
City
Horn Lake
State
Mississippi
Zip
38637-1172
Phone Number
662-342-6677
Fax Number
662-342-1213
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adolescent Medicine
Taxonomy
207QA0000X
License No.
15476 (Mississippi)
Definition
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
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