Organization
CMA FAMILY MEDICINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ARMSTRONG MASTERS OF SCIENCE (CLINIC MANAGER)
(601) 876-5337
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, TYLERTOWN, MS 39667-2021
(601) 876-5337
(601) 876-5045
Mailing address
155 HOSPITAL DR, P O BOX 424, TYLERTOWN, MS 39667-2021
(601) 876-5337
(601) 876-5045
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015286
—
MS
Enumeration date
10/12/2005
Last updated
03/12/2008
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