Organization
PAS-POINT FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNK A ELLIS III MD (OWNER)
(228) 474-2212
Entity
Organization
Contact information
Practice address
3736 MAIN ST, MOSS POINT, MS 39563-5108
(228) 474-2242
(228) 475-6271
Mailing address
3736 MAIN ST, P.O. BOX 8572, MOSS POINT, MS 39563-5108
(228) 474-2242
(228) 475-6271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
17210
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113221
—
MS
Enumeration date
10/25/2016
Last updated
02/01/2022
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