Organization
CALHOUN CITY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUY R FARMER SR. MD (OWNER)
(662) 628-5116
Entity
Organization
Contact information
Practice address
120 BURKE - CALHOUN CITY ROAD, CALHOUN CITY, MS 38916
(662) 628-5116
(662) 628-5117
Mailing address
PO BOX 599, CALHOUN CITY, MS 38916-0599
(662) 628-5116
(662) 628-5117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04507
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09023316
—
MS
01
—
1750492005
INDIVIDUAL NPI
—
Enumeration date
02/01/2007
Last updated
06/23/2011
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