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Organization
FAMILY FIRST CLINIC OF CLARKSDALE, PLLC
Active
Organization
FAMILY FIRST CLINIC OF CLARKSDALE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DALLAS EARNEST FNP (OWNER)
(662) 592-4170
Entity
Organization
Contact information
Practice address
1015 LEE DR, SUITE 13, CLARKSDALE, MS 38614-3698
(662) 592-4170
(662) 269-0226
Mailing address
1015 LEE DR, SUITE 13, CLARKSDALE, MS 38614-3698
(901) 737-1992
(901) 309-8784
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/22/2011
Last updated
10/17/2024
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