Organization
REID FARMER DAVIS MEDICO
Active
Other names
Devine Family Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE REID FNP-BC (CEO)
(662) 402-0686
Entity
Organization
Contact information
Practice address
4080 HIGHWAY 8 WEST, CLEVELAND, MS 38732
(662) 402-0686
Mailing address
4080 HIGHWAY 8 WEST, CLEVELAND, MS 38732
(662) 402-0686
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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