institution
Line Street Medical Clinic
Primary Care Clinic/Center in Philadelphia, Mississippi
NPI 1730811944

Line Street Medical Clinic is a Primary Care Clinic/Center based in Philadelphia, MS and is specialized in Primary Care. Line Street Medical Clinic practices in Philadelphia, MS. The NPI Number for Line Street Medical Clinic is 1730811944 and holds a License No. (Mississippi).

The current practice location address for Line Street Medical Clinic is 562 Line St S Bldg A, Philadelphia, MS and can be reached out via phone at 601-389-8223 and via fax at 833-640-0468.

Location: 562 Line St S Bldg A, Philadelphia, MS, 39350-2144
institution
Provider Profile Details
NPI Number
1730811944
Provider Name
Line Street Medical Clinic
Credential
Provider Entity Type
Organization
Address
562 Line St S Bldg A, Philadelphia, MS, 39350-2144
Phone Number
601-389-8223
Fax Number
833-640-0468
Provider Enumeration Date
06/27/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01805219 05 MS
institution
Provider Business Practice Location Address Details
Address
562 Line St S Bldg A
City
State
Zip
39350-2144
Phone Number
601-389-8223
Fax Number
833-640-0468
person
Provider Business Mailing Address Details
Address
562 Line St S Bldg A
City
State
Zip
39350-2144
Phone Number
601-389-8223
Fax Number
833-640-0468
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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