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Organization

RIVER BEND MEDICAL CLINIC, INC

Active
Other names
RIVER BEND MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
PAIGE E KEY CMA XRT (OWNER)
(601) 933-1199
Entity
Organization

Contact information

Practice address
2659 LAKELAND DR, FLOWOOD, MS 39232-9516
(601) 933-1199
(601) 933-1116
Mailing address
2659 LAKELAND DR, FLOWOOD, MS 39232-9516
(601) 933-1199
(601) 933-1116

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
NO LICENCE NUMBER
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015472
MS
Enumeration date
09/29/2005
Last updated
08/22/2020
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