# LOUISVILLE MEDICAL ASSOCIATES PA

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

## Provider details

- **NPI number:** 1538187414
- **Authorized official:** ROBIN J WRIGHT (CLINIC MANAGER)
- **Authorized official phone:** (662) 773-7500

## Contact information

- **Practice address:** 564 E MAIN ST, LOUISVILLE, MS 39339-2742
- **Practice address phone:** (662) 773-7500
- **Practice address fax:** (662) 779-5006
- **Mailing address:** PO BOX 190, LOUISVILLE, MS 39339-0190
- **Mailing address phone:** (662) 773-7500
- **Mailing address fax:** (662) 779-5006

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 10/15/2013
