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Organization
ROSEDALE FAMILY MEDICAL CENTER, P.C.
Active
Organization
ROSEDALE FAMILY MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM LEWIS JR. M.D. (PRESIDENT)
(662) 759-6806
Entity
Organization
Contact information
Practice address
512 LEVEE ST., ROSEDALE, MS 38769-0310
(662) 759-6806
(662) 759-6771
Mailing address
P.O.BOX 310, ROSEDALE, MS 38769-0310
(662) 759-6806
(662) 759-6771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09592
MS
Other
Enumeration date
08/15/2006
Last updated
04/29/2008
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