Organization
SHERMAN FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH J WHITEHEAD FNP (OWNER)
(662) 840-8978
Entity
Organization
Contact information
Practice address
608 HWY 178, SHERMAN, MS 38869-0325
(662) 840-8978
(662) 840-1230
Mailing address
PO BOX 325, SHERMAN, MS 38869-0325
(662) 840-8978
(662) 840-1230
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015013
—
MS
Enumeration date
02/20/2007
Last updated
01/29/2008
Update your record
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