Organization
DURANT PRIMARY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAS ABBOUD M.D. (OWNER)
(662) 653-1002
Entity
Organization
Contact information
Practice address
638 NORTHWEST AVE, DURANT, MS 39063-3337
(662) 653-1002
(662) 653-1038
Mailing address
638 NORTHWEST AVE, DURANT, MS 39063-3337
(662) 653-1002
(662) 653-1038
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824892
—
MS
05
—
09807861
—
MS
Enumeration date
10/20/2006
Last updated
09/29/2009
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