Organization
ACUTE CARE & FAMILY CLINIC OF PONTOTOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENA A VAIL (OWNER)
(662) 534-7777
Entity
Organization
Contact information
Practice address
351 A PEOPLES DR, PONTOTOC, MS 38863-8990
(662) 489-2777
(662) 489-0065
Mailing address
351 A PEOPLES DR, PONTOTOC, MS 38863-8990
(662) 489-2777
(662) 489-0065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
08/22/2020
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