Organization
FIRST CHOICE FAMILY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY T GLOVER (BUSINESS OFFICE MANAGER)
(662) 738-5454
Entity
Organization
Contact information
Practice address
75 HIGHWAY 388, BROOKSVILLE, MS 39739
(662) 738-5544
Mailing address
PO BOX 466, MACON, MS 39341-0466
(662) 738-5454
(662) 738-5457
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
03/15/2022
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