Organization
FAMILY CLINIC OF NEW ALBANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINGER COX (OFFICE MANAGER)
(662) 534-7777
Entity
Organization
Contact information
Practice address
474 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-7777
(662) 534-3050
Mailing address
474 W BANKHEAD ST, NEW ALBANY, MS 38652-3319
(662) 534-7777
(662) 534-3050
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
258954
FAMILY CLINIC OF NEW ALBA
—
Enumeration date
08/04/2006
Last updated
09/13/2019
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