Organization
FRIENDSHIP MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY KEN NOWLIN (OWNER)
(662) 489-3333
Entity
Organization
Contact information
Practice address
5129 HIGHWAY 15 N, ECRU, MS 38841-9407
(662) 488-8799
(772) 382-7966
Mailing address
5129 HIGHWAY 15 N, ECRU, MS 38841-9407
(662) 488-8799
(772) 382-7966
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04170317
—
MS
Enumeration date
05/19/2006
Last updated
09/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us