Organization
GRACE & MERCY FAMILY MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RHONDA M. ODOM-FUNCHES M.D. (OWNER)
(601) 373-1055
Entity
Organization
Contact information
Practice address
2106 RAYMOND RD, SUITE A, JACKSON, MS 39212-2300
(601) 373-1055
(601) 373-1774
Mailing address
2106 RAYMOND RD, SUITE A, JACKSON, MS 39212-2300
(601) 373-1055
(601) 373-1774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/16/2007
Last updated
12/10/2012
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