Organization
PEARL FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM KROOSS II MD (MANAGING PARTNER)
(601) 932-3191
Entity
Organization
Contact information
Practice address
187 DOCTORS DR, PEARL, MS 39208-4042
(601) 939-8921
Mailing address
PO BOX 320609, FLOWOOD, MS 39232-0609
(601) 932-3191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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