# QUALITY MEDICAL CLINIC, INC.

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

## Provider details

- **NPI number:** 1720497936
- **Authorized official:** VICTOR O ANAZIA D.O. (AUTHORIZED AGENT)
- **Authorized official phone:** (601) 444-9266

## Contact information

- **Practice address:** 1212 BROAD ST, COLUMBIA, MS 39429-3114
- **Practice address phone:** (601) 444-9266
- **Practice address fax:** (601) 444-9267
- **Mailing address:** 120 5TH AVE, MCCOMB, MS 39648-4159
- **Mailing address phone:** (601) 444-9266
- **Mailing address fax:** (601) 444-9267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 14997 | MS | Yes |

## Other

- **Enumeration date:** 08/13/2014
- **Last updated:** 10/08/2014