Organization
PICAYUNE FAMILY PRACTICE CLINIC, LLC
Active
Other names
Picayune Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ALI FNP (OWNER)
(228) 385-7715
Entity
Organization
Contact information
Practice address
422 MEMORIAL BLVD, PICAYUNE, MS 39466-5544
(601) 798-2151
(601) 798-2184
Mailing address
PO BOX 6913, GULFPORT, MS 39506-6913
(228) 385-7715
(228) 385-7719
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/13/2008
Last updated
02/13/2008
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