Organization
PAKI INC
Active
Other names
Central Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY MONDAY (ADMIN)
(601) 296-2552
Entity
Organization
Contact information
Practice address
126 W CENTRAL AVE, PETAL, MS 39465-2314
(601) 296-2552
(601) 296-2397
Mailing address
PO BOX 17708, HATTIESBURG, MS 39404-7708
(601) 296-2552
(601) 296-2397
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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