Organization
BATESVILLE MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R HAVENS MD (MEDICAL DIRECTOR/OWNER)
(662) 563-6000
Entity
Organization
Contact information
Practice address
107 EUREKA ST STE A, BATESVILLE, MS 38606-2533
(662) 563-6000
(662) 563-2200
Mailing address
107 EUREKA ST STE A, BATESVILLE, MS 38606-2533
(662) 563-6000
(662) 563-2200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
05/12/2022
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