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Organization
COMMUNITY HEALTH CLINIC
Active
Organization
COMMUNITY HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE G MILLER (CEO)
(601) 962-2576
Entity
Organization
Contact information
Practice address
102 JULIA STREET, ISOLA, MS 38754
(662) 962-7923
(662) 962-2575
Mailing address
P.O. BOX 553, ISOLA, MS 38754
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MS
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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