institution
121 Medical Place, Inc
Community Health Clinic/Center in Mendenhall, Mississippi
NPI 1588106553

121 Medical Place, Inc is a Community Health Clinic/Center based in Mendenhall, MS and is specialized in Community Health. 121 Medical Place, Inc practices in Mendenhall, MS. The NPI Number for 121 Medical Place, Inc is 1588106553 and holds a License No. R863242 (Mississippi).

The current practice location address for 121 Medical Place, Inc is 820 Mangum Ave, Mendenhall, MS and can be reached out via phone at 601-906-1897.

Location: 820 Mangum Ave, Mendenhall, MS, 39114-3025
institution
Provider Profile Details
NPI Number
1588106553
Provider Name
121 Medical Place, Inc
Credential
Provider Entity Type
Organization
Address
820 Mangum Ave, Mendenhall, MS, 39114-3025
Phone Number
601-906-1897
Fax Number
Provider Enumeration Date
11/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00476391 05 MS
institution
Provider Business Practice Location Address Details
Address
820 Mangum Ave
City
State
Zip
39114-3025
Phone Number
601-906-1897
Fax Number
person
Provider Business Mailing Address Details
Address
820 Mangum Ave
City
State
Zip
39114-3025
Phone Number
601-906-1897
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
R863242 (Mississippi)
Definition
Definition to come...
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