Organization
LOUISVILLE MEDICAL ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN J WRIGHT (CLINIC MANAGER)
(662) 773-7500
Entity
Organization
Contact information
Practice address
564 E MAIN ST, LOUISVILLE, MS 39339-2742
(662) 773-7500
(662) 779-5006
Mailing address
PO BOX 190, LOUISVILLE, MS 39339-0190
(662) 773-7500
(662) 779-5006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014428
—
MS
Enumeration date
07/18/2006
Last updated
10/15/2013
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