Organization
DURANT PRIMARY CARE CLINIC
Active
Parent organization
DURANT PRIMARY CARE CLINIC
Other names
LEXINGTON MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DURANT PRIMARY CARE CLINIC
Authorized official
MS. SHELIA ANN SNOW (OFFICE MANAGER)
(662) 834-1961
Entity
Organization
Contact information
Practice address
22741 BOWLING GREEN RD, LEXINGTON, MS 39095
(662) 834-1961
(662) 834-1962
Mailing address
22741 HWY 12 BOWLING GREEN RD, LEXINGTON, MS 39095
(662) 834-1961
(662) 834-1962
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14192
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115622
—
MS
Enumeration date
11/02/2009
Last updated
03/01/2011
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