Organization
SPEARS MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMON SCOTT SPEARS FNP-C (OWNER)
(601) 600-6522
Entity
Organization
Contact information
Practice address
804 ROBB ST, SUMMIT, MS 39666-8291
(601) 608-0900
(601) 600-2171
Mailing address
PO BOX 54, SUMMIT, MS 39666-0054
(601) 608-0900
(601) 600-2171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08751030
—
MS
01
—
1679628697
NPPES NPI REGISTRY
MS
Enumeration date
04/15/2021
Last updated
04/30/2025
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