Organization
NORTHSIDE MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KLANCIE ALLISON SMITH FNP-BC (FAMILY NURSE PRACTITIONER/OWNER)
(662) 617-4894
Entity
Organization
Contact information
Practice address
1014A N JACKSON ST, STARKVILLE, MS 39759-2211
(662) 617-4894
(662) 384-5345
Mailing address
1014A N JACKSON ST, STARKVILLE, MS 39759-2211
(662) 617-4894
(662) 384-5345
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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