Organization
EVERGREEN FAMILY MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA JEANESSE RUSHING CFNP (CFNP/OWNER)
(662) 963-9154
Entity
Organization
Contact information
Practice address
4929 HIGHWAY 371 S, NETTLETON, MS 38858-6901
(662) 963-9154
(662) 963-9157
Mailing address
4929 HIGHWAY 371 S, NETTLETON, MS 38858-6901
(662) 963-9154
(662) 963-9157
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
MS
Other
Enumeration date
09/24/2007
Last updated
07/21/2022
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