Organization
REGIONAL MEDICAL ASSOCIATES
Active
Other names
Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A FRILOUX MD (OWNER)
(662) 328-9623
Entity
Organization
Contact information
Practice address
2001 AIRPORT RD N, SUITE 204, FLOWOOD, MS 39232-8827
(601) 936-7199
(601) 936-7193
Mailing address
1503 HIGHWAY 45 N, COLUMBUS, MS 39705-2113
(662) 328-9623
(662) 327-7477
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015057
—
MS
01
—
C02342
MEDICARE GROUP
MS
01
—
CD1061
RAILROAD MEDICARE GROUP
MS
Enumeration date
07/31/2006
Last updated
03/18/2008
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