Organization
CLINIC 221, FAMILY HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY WARREN BRISCOE FNP (FNP/OWNER)
(662) 301-8330
Entity
Organization
Contact information
Practice address
400 NORTHWEST PLZ, SENATOBIA, MS 38668-1740
(662) 301-8330
Mailing address
400 NORTHWEST PLZ, SENATOBIA, MS 38668-1740
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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