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Individual

DR. MARY E CLAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
FAMILY MEDICAL CLINIC, 20 SOUTH 6TH STREET, BAY SPRINGS, MS 39422
(601) 764-4494
(601) 764-4649
Mailing address
PO BOX 1282, BAY SPRINGS, MS 39422-1282
(601) 764-2050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12098
MS
208000000X
Pediatrics Physician
12098
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115455
MS
01
043099
UNITED HEALTH CARE
MS
Enumeration date
09/25/2006
Last updated
02/23/2010
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