Organization
COMPREHENSIVE FAMILY MEDICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY POLITI M.D. (OWNER)
(662) 280-3428
Entity
Organization
Contact information
Practice address
3040 GOODMAN RD W, HORN LAKE, MS 38637-1189
(662) 280-3428
(662) 280-1736
Mailing address
3040 GOODMAN RD W, HORN LAKE, MS 38637-1189
(662) 280-3428
(662) 280-1736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18992
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104813625
COMMERCIAL
MS
Enumeration date
01/03/2012
Last updated
01/03/2012
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