# MCGEHEE FAMILY HEALTH CLINIC, P.A.

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

## Provider details

- **NPI number:** 1346552726
- **Authorized official:** MRS. DEBBIE PATE MCGEHEE APN (OWNER/FAMILY NURSE PRACTITIONER)
- **Authorized official phone:** (662) 417-1710

## Contact information

- **Practice address:** 100 E MONROE ST, GRENADA, MS 38901-5249
- **Practice address phone:** (662) 417-1710
- **Mailing address:** 100 E MONROE ST, GRENADA, MS 38901-5249
- **Mailing address phone:** (662) 226-0600
- **Mailing address fax:** (662) 226-0644

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | R745671 | MS | Yes |

## Other

- **Enumeration date:** 07/13/2010
- **Last updated:** 10/03/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00115715 | — | MS |
