Organization
BLUE MOUNTAIN FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS FORD BARKLEY MD (VP)
(662) 685-4700
Entity
Organization
Contact information
Practice address
124 NORTH GUYTON, BLUE MOUNTAIN, MS 38610
(662) 685-4700
(662) 685-9999
Mailing address
124 NORTH GUYTON, BLUE MOUNTAIN, MS 38610
(662) 685-4700
(662) 685-9999
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014529
—
MS
Enumeration date
12/05/2005
Last updated
11/28/2007
Update your record
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