Organization
FAMILY CARE CLINIC
Active
Organization
FAMILY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M BEAMAN M.D (OWNER)
(601) 788-6321
Entity
Organization
Contact information
Practice address
302 BAY AVENUE, RICHTON, MS 39476-1650
(601) 788-6321
(601) 788-6362
Mailing address
PO BOX 1650, RICHTON, MS 39476-1650
(601) 788-6321
(601) 788-6362
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10061
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00010503
—
MS
Enumeration date
12/08/2008
Last updated
12/08/2008
Update your record
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