Organization
NESHOBA FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE WEEKS (CFO)
(601) 663-1367
Entity
Organization
Contact information
Practice address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 656-6116
(601) 656-5445
Mailing address
921 W BEACON ST, PHILADELPHIA, MS 39350-3229
(601) 656-6116
(601) 656-5445
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
16407
MS
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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