Organization
LEFLEUR FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER COLLINS MD (OWNER)
(601) 713-1145
Entity
Organization
Contact information
Practice address
1420 OLD SQUARE RD, JACKSON, MS 39211-5523
(601) 713-1145
Mailing address
1420 OLD SQUARE RD, JACKSON, MS 39211-5523
(601) 713-1145
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MS
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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