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Organization

TIPLERSVILLE FAMILY MEDICAL CLINIC

Active
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Organization

TIPLERSVILLE FAMILY MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CANDICE HEAVENER NP (PROVIDER)
(662) 672-7527
Entity
Organization

Contact information

Practice address
24111 HIGHWAY 15, TIPLERSVILLE, MS 38674
(662) 672-7527
Mailing address
2820 COUNTY ROAD 301, FALKNER, MS 38629-9321
(662) 882-3635

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
05/02/2025
Last updated
05/02/2025
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