Organization
CLINTON FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRICE WHEAT MD (PROPRIETOR)
(601) 924-1877
Entity
Organization
Contact information
Practice address
309A MORRISON DR, CLINTON, MS 39056-5239
(601) 924-1877
(601) 924-1871
Mailing address
309A MORRISON DR, CLINTON, MS 39056-5239
(601) 924-1877
(601) 924-1871
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09202
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114637
—
MS
01
—
P00250596 GRP DD7799
MEDICARE RAILROAD
MS
Enumeration date
11/28/2006
Last updated
02/18/2009
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