Organization
YAZOO CITY MEDICAL CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM P THOMPSON (PRESIDENT)
(662) 746-6083
Entity
Organization
Contact information
Practice address
805 E FIFTEENTH ST, YAZOO CITY, MS 39194-7607
(662) 746-6083
(662) 746-1954
Mailing address
PO BOX 1509, YAZOO CITY, MS 39194-1509
(662) 746-6083
(662) 746-1954
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05855
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09012127
—
MS
Enumeration date
11/16/2006
Last updated
03/13/2008
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