Organization
THAXTON FAMILY MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN FLOYD NP-C (PROVIDER/MANAGING MEMBER)
(662) 213-7890
Entity
Organization
Contact information
Practice address
11145 HIGHWAY 6 W, THAXTON, MS 38871-9024
(662) 489-8500
(662) 489-8600
Mailing address
11145 HIGHWAY 6 W, THAXTON, MS 38871-9024
(662) 489-8500
(662) 489-8600
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
901818
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
901818
MS
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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