# YAZOO CITY MEDICAL CLINIC PA

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

## Provider details

- **NPI number:** 1174696330
- **Authorized official:** WILLIAM P THOMPSON (PRESIDENT)
- **Authorized official phone:** (662) 746-6083

## Contact information

- **Practice address:** 805 E FIFTEENTH ST, YAZOO CITY, MS 39194-7607
- **Practice address phone:** (662) 746-6083
- **Practice address fax:** (662) 746-1954
- **Mailing address:** PO BOX 1509, YAZOO CITY, MS 39194-1509
- **Mailing address phone:** (662) 746-6083
- **Mailing address fax:** (662) 746-1954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 05855 | MS | Yes |

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 03/13/2008