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Organization

MALLORY COMMUNITY HEALTH

Active
Other names
Mallory Mobile RV Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLYDE ROZELL CHAPMAN II M.D. (CHIEF EXEXCUTIVE OFFICER)
(662) 834-1857
Entity
Organization

Contact information

Practice address
17280 HIGHWAY 17, LEXINGTON, MS 39095-6614
(662) 834-1857
(662) 834-1859
Mailing address
PO BOX 479, LEXINGTON, MS 39095-0479
(662) 834-1857
(662) 834-1859

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
08/26/2016
Last updated
12/30/2020
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