# CROSSROADS FAMILY HEALTH CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114654423
- **Authorized official:** MARY CARTER NP (OWNER)
- **Authorized official phone:** (662) 286-2300

## Contact information

- **Practice address:** 2427 PROPER ST, CORINTH, MS 38834-5394
- **Practice address phone:** (662) 286-2300
- **Practice address fax:** (662) 286-7010
- **Mailing address:** 2427 PROPER ST, CORINTH, MS 38834-5394
- **Mailing address phone:** (662) 286-2300
- **Mailing address fax:** (662) 286-7010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2022
- **Last updated:** 08/05/2022