Organization
FAMILY MEDICAL CLINIC OF OKOLONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA BROCKMAN (CEO)
(662) 456-3700
Entity
Organization
Contact information
Practice address
521 WEST DR, OKOLONA, MS 38860-1625
(662) 447-1405
(662) 447-1408
Mailing address
521 WEST DR, OKOLONA, MS 38860-1625
(662) 447-1405
(662) 447-1408
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
01/18/2024
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