Organization
POTTS CAMP FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALICE STINE (BUSINESS MANAGER)
(662) 333-4333
Entity
Organization
Contact information
Practice address
3 REIDS ALLEY, POTTS CAMP, MS 38659
(662) 333-4333
Mailing address
PO BOX 88, POTTS CAMP, MS 38659-0088
(662) 333-4333
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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