Organization
THE MYERS FOUNDATION CHRISTIAN FAMILY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD V MYERS SR. M.D. (FOUNDER/PRESIDENT)
(662) 235-4227
Entity
Organization
Contact information
Practice address
15548 HWY. 49 EAST, SUITE A, TCHULA, MS 39169
(662) 235-4227
(662) 247-4767
Mailing address
PO BOX 637, TCHULA, MS 39169-0637
(662) 235-4227
(662) 247-4767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11615
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9013861
—
MS
Enumeration date
03/17/2009
Last updated
03/17/2009
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