Organization
BOUNDS FAMILY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER HENDERSON (OFFICE MANAGER)
(601) 809-0882
Entity
Organization
Contact information
Practice address
870 MAIN ST STE A, FAYETTE, MS 39069-5695
(601) 809-0882
(601) 809-0883
Mailing address
PO BOX 91, FAYETTE, MS 39069-0091
(601) 809-0882
(601) 809-0883
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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