Organization
QUALITY MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR O ANAZIA D.O. (AUTHORIZED AGENT)
(601) 444-9266
Entity
Organization
Contact information
Practice address
1212 BROAD ST, COLUMBIA, MS 39429-3114
(601) 444-9266
(601) 444-9267
Mailing address
120 5TH AVE, MCCOMB, MS 39648-4159
(601) 444-9266
(601) 444-9267
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14997
MS
Other
Enumeration date
08/13/2014
Last updated
10/08/2014
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