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Organization
FAMILY HEALTH CARE CLINIC, INC.
Active
Organization
FAMILY HEALTH CARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARINA MARIE CLAYTON (CHIEF FINANCIAL OFFICER)
(601) 825-7280
Entity
Organization
Contact information
Practice address
1551 W GOVERNMENT ST, BRANDON, MS 39042
(601) 825-3163
(601) 825-7893
Mailing address
PO BOX 24116, JACKSON, MS 39225-4116
(601) 825-7280
(601) 825-8130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014312
—
MS
Enumeration date
01/03/2008
Last updated
07/04/2018
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