| Chickasaw Fmc | |
|
518 West Dr Okolona MS 38860-1624 | |
| (662) 447-2255 | |
| Not Available |
| Full Name | Chickasaw Fmc |
|---|---|
| Speciality | Family Medicine |
| Location | 518 West Dr, Okolona, Mississippi |
| Authorized Official Name and Position | Chris Dedeaux (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 6222567112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickasaw Fmc 123 Main St N Amory MS 38821-3416 | Chickasaw Fmc 518 West Dr Okolona MS 38860-1624 Ph: (662) 447-2255 |
| NPI Number | 1710101902 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710101902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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