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Southern Family Medicine
Medical Specialty Clinic/Center in Collins, Mississippi
NPI 1982608691

Southern Family Medicine is a Medical Specialty Clinic/Center based in Collins, MS and is specialized in Medical Specialty. Southern Family Medicine practices in Collins, MS. The NPI Number for Southern Family Medicine is 1982608691 and holds a License No. (Mississippi).

The current practice location address for Southern Family Medicine is 603 S Holly Ave, Collins, MS and can be reached out via phone at 601-765-9393 and via fax at 601-765-9363. You can also correspond with Southern Family Medicine through the mailing address at 606 GERALD MCRANEY ST, COLLINS, MS - 39428-3801 (mailing address contact number: 601-765-9393).

Location: 603 S Holly Ave, Collins, MS, 39428-3801
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982608691
Provider Name
Southern Family Medicine
Credential
Provider Entity Type
Organization
Address
603 S Holly Ave, Collins, MS, 39428-3801
Phone Number
601-765-9393
Fax Number
601-765-9363
Provider Enumeration Date
06/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01588261 05 MS
25D1026870 01 CLIA
institution
Provider Business Practice Location Address Details
Address
603 S Holly Ave
City
Collins
State
Mississippi
Zip
39428-3801
Phone Number
601-765-9393
Fax Number
601-765-9363
person
Provider Business Mailing Address Details
Address
603 S Holly Ave
City
Collins
State
Mississippi
Zip
39428-3801
Phone Number
601-765-9393
Fax Number
601-765-9363
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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