Organization
IMMEDIATE FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG G PARKER (FNP)
(228) 385-3774
Entity
Organization
Contact information
Practice address
2490 PASS RD, BILOXI, MS 39531-2838
(228) 385-3774
(228) 385-3776
Mailing address
2490 PASS RD, BILOXI, MS 39531-2838
(228) 385-3774
(228) 385-3776
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
R791344
MS
261QU0200X
Urgent Care Clinic/Center
R868142
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255343570
—
MS
05
—
1811132285
—
MS
Enumeration date
12/28/2009
Last updated
12/28/2009
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