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Organization
FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC
Active
Organization
FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES W ERVIN M.D. (PRESIDENT)
(601) 892-3063
Entity
Organization
Contact information
Practice address
104 W RAILROAD AVE S, CRYSTAL SPRINGS, MS 39059-2111
(601) 892-3063
(601) 892-3570
Mailing address
104 W RAILROAD AVE S, CRYSTAL SPRINGS, MS 39059-2111
(601) 892-3063
(601) 892-3570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
11/18/2025
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