institution
Shannon Family Medical Clinic, Llc
Rural Health Clinic/Center in Shannon, Mississippi
NPI 1568633964

Shannon Family Medical Clinic, Llc is a Rural Health Clinic/Center based in Shannon, MS and is specialized in Rural Health. Shannon Family Medical Clinic, Llc practices in Shannon, MS. The NPI Number for Shannon Family Medical Clinic, Llc is 1568633964 and holds a License No. R819576 (Mississippi).

The current practice location address for Shannon Family Medical Clinic, Llc is 219 Broad St, Shannon, MS and can be reached out via phone at 662-995-2201 and via fax at 662-995-2202.

Location: 219 Broad St, Shannon, MS, 38868-9301
institution
Provider Profile Details
NPI Number
1568633964
Provider Name
Shannon Family Medical Clinic, Llc
Credential
Provider Entity Type
Organization
Address
219 Broad St, Shannon, MS, 38868-9301
Phone Number
662-995-2201
Fax Number
662-995-2202
Provider Enumeration Date
03/13/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05188209 05 MS
institution
Provider Business Practice Location Address Details
Address
219 Broad St
City
State
Zip
38868
Phone Number
662-995-2201
Fax Number
662-995-2202
person
Provider Business Mailing Address Details
Address
219 Broad St
City
State
Zip
38868
Phone Number
662-995-2201
Fax Number
662-995-2202
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
R819576 (Mississippi)
Definition
Definition to come...
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