# SILVER MEDICAL ASSOCIATES, LLC

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

## Provider details

- **NPI number:** 1396291944
- **Authorized official:** DR. KIM ANTOINETTE MITCHELL-SILVER M.D. (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (769) 242-2020

## Contact information

- **Practice address:** 814 S HAUGH AVE, BOX 1675, PICAYUNE, MS 39466-5350
- **Practice address phone:** (769) 242-2020
- **Practice address fax:** (769) 242-2023
- **Mailing address:** 814 S HAUGH AVE, PICAYUNE, MS 39466-5350
- **Mailing address phone:** (769) 242-2020
- **Mailing address fax:** (769) 242-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1095115 | MS | Yes |

## Other

- **Enumeration date:** 09/01/2016
- **Last updated:** 06/11/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00606725 | — | MS |
| 05 | — | 02274570 | — | MS |