Organization
NETTLETON FAMILY MEDICAL CLINIC, INC.
Active
Organization
NETTLETON FAMILY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW CURRY JUSTICE CFNP (OWNER)
(662) 963-9146
Entity
Organization
Contact information
Practice address
1495 MAPLE RD, NETTLETON, MS 38858-6026
(662) 963-9146
(662) 963-9186
Mailing address
1495 MAPLE RD, NETTLETON, MS, MS 38858-6026
(662) 963-9146
(662) 963-9186
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
R682403
MS
261QP2300X
Primary Care Clinic/Center
Primary
R850606
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00328681
—
MS
Enumeration date
10/15/2007
Last updated
11/13/2012
Update your record
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