institution
Marietta Family Clinic, Inc.
Family Nurse Practitioner in Marietta, Mississippi
NPI 1922032812

Marietta Family Clinic, Inc. is a Family Nurse Practitioner based in Marietta, MS and is specialized in Family. Marietta Family Clinic, Inc. practices in Marietta, MS. The NPI Number for Marietta Family Clinic, Inc. is 1922032812 and holds a License No. R853095 (Mississippi).

The current practice location address for Marietta Family Clinic, Inc. is 3 Cr 4050, Marietta, MS and can be reached out via phone at 662-728-2408 and via fax at 662-728-2409.

Location: 3 Cr 4050, Marietta, MS, 38856-0056
institution
Provider Profile Details
NPI Number
1922032812
Provider Name
Marietta Family Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
3 Cr 4050, Marietta, MS, 38856-0056
Phone Number
662-728-2408
Fax Number
662-728-2409
Provider Enumeration Date
07/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03282808 05 MS
institution
Provider Business Practice Location Address Details
Address
3 Cr 4050
City
State
Zip
38856
Phone Number
662-728-2408
Fax Number
662-728-2409
person
Provider Business Mailing Address Details
Address
3 Cr 4050
City
State
Zip
38856
Phone Number
662-728-2408
Fax Number
662-728-2409
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R853095 (Mississippi)
Definition
Definition to come...
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