# FAMILY FIRST CLINIC OF CLARKSDALE, PLLC

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

## Provider details

- **NPI number:** 1215206016
- **Authorized official:** MRS. DALLAS EARNEST FNP (OWNER)
- **Authorized official phone:** (662) 592-4170

## Contact information

- **Practice address:** 1015 LEE DR, SUITE 13, CLARKSDALE, MS 38614-3698
- **Practice address phone:** (662) 592-4170
- **Practice address fax:** (662) 269-0226
- **Mailing address:** 1015 LEE DR, SUITE 13, CLARKSDALE, MS 38614-3698
- **Mailing address phone:** (901) 737-1992
- **Mailing address fax:** (901) 309-8784

## Taxonomy

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

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 10/17/2024