| Dr Clifton Rodgers, MD | |
|
12 East Brunswick, Byhalia, MS 38611-0698 | |
| (662) 838-2163 | |
| (662) 838-7944 |
| Full Name | Dr Clifton Rodgers |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 12 East Brunswick, Byhalia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861496507 | NPI | - | NPPES |
| 00019997 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13088 (Mississippi) | Primary |
| Entity Name | Northeast Mississippi Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558410738 PECOS PAC ID: 5294717377 Enrollment ID: O20040602001469 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Clifton Rodgers, MD Po Box 698, Byhalia, MS 38611-0698 Ph: (662) 838-2163 | Dr Clifton Rodgers, MD 12 East Brunswick, Byhalia, MS 38611-0698 Ph: (662) 838-2163 |
Dr. Henry Grady Marlow Iii, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 East Brunswick, Byhalia, MS 38611 Phone: 662-838-2163 Fax: 662-838-7944 | |
Dr. Chauntay Yvette Bradley, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 12 E Brunswick St, Byhalia, MS 38611 Phone: 662-536-1020 | |
Dr. Annabelle D. Cabe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12 East Brunswick, Byhalia, MS 38611 Phone: 662-838-2163 Fax: 662-838-7944 |