Organization
WEST UNION FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE GOSSETT NP (NURSE PRACTIONER)
(662) 333-6387
Entity
Organization
Contact information
Practice address
1561 ST HWY 30 W, NEW ALBANY, MS 38652
(662) 333-6387
(663) 333-9339
Mailing address
PO BOX 5, HICKORY FLAT, MS 38633-0005
(662) 333-6387
(663) 333-9339
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R687235
MS
Other
Enumeration date
10/05/2010
Last updated
10/05/2010
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