Organization
REID FARMER DAVIS MEDICO
Active
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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