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Community Family Healthcare, Inc
Family Nurse Practitioner in Mantachie, Mississippi
NPI 1891907093

Community Family Healthcare, Inc is a Family Nurse Practitioner based in Mantachie, MS and is specialized in Family. Community Family Healthcare, Inc practices in Mantachie, MS. The NPI Number for Community Family Healthcare, Inc is 1891907093 and holds a License No. R857240 (Mississippi).

The current practice location address for Community Family Healthcare, Inc is 285 Ivie Lane, Mantachie, MS and can be reached out via phone at 662-282-4197.

Location: 285 Ivie Lane, Mantachie, MS, 38855
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891907093
Provider Name
Community Family Healthcare, Inc
Credential
Provider Entity Type
Organization
Address
285 Ivie Lane, Mantachie, MS, 38855
Phone Number
662-282-4197
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09016148 05 MS
02324272 05 MS
1720180979 01 MS NPI INDIVIDUAL #
institution
Provider Business Practice Location Address Details
Address
285 Ivie Lane
City
Mantachie
State
Mississippi
Zip
38855
Phone Number
662-282-4197
Fax Number
person
Provider Business Mailing Address Details
Address
285 Ivie Lane
City
Mantachie
State
Mississippi
Zip
38855
Phone Number
662-282-4197
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
R857240 (Mississippi)
Definition
Definition to come...
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