# FAMILY & URGENT CARE CLINIC

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

## Provider details

- **NPI number:** 1942574363
- **Authorized official:** BARRY J POLITI (SOLE MBR)
- **Authorized official phone:** (662) 280-3428

## Contact information

- **Practice address:** 3040 GOODMAN RD W, HORN LAKE, MS 38637-1189
- **Practice address phone:** (662) 280-3428
- **Practice address fax:** (662) 280-1736
- **Mailing address:** 3040 GOODMAN RD W, HORN LAKE, MS 38637-1189
- **Mailing address phone:** (662) 280-3428
- **Mailing address fax:** (662) 280-1736

## Taxonomy

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

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/02/2012