Organization
CLARKSDALE HMA PHYSICAN MANAGEMENT, LLC
Active
Organization
CLARKSDALE HMA PHYSICAN MANAGEMENT, LLC
Active
Parent organization
CLARKSDALE HMA PHYSICIAN MANAGEMENT, LLC
Other names
Campbell Family Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLARKSDALE HMA PHYSICIAN MANAGEMENT, LLC
Authorized official
MILLER VANCE (AREA MANAGER)
(662) 624-8000
Entity
Organization
Contact information
Practice address
580 FRIARS POINT RD, CLARKSDALE, MS 38614-9734
(662) 624-4316
(662) 621-1151
Mailing address
785 OHIO AVE, SUITE 3G, CLARKSDALE, MS 38614-6217
(662) 624-8000
(662) 627-2900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03426211
—
MS
Enumeration date
03/27/2009
Last updated
12/23/2013
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