| Community Health Clinic | |
|
102 Julia Street Isola MS 38754 | |
| (662) 962-7923 | |
| (662) 962-2575 |
| Full Name | Community Health Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 102 Julia Street, Isola, Mississippi |
| Authorized Official Name and Position | Bobbie G Miller (CEO) |
| Authorized Official Contact | 6019622576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Clinic P.o. Box 553 Isola MS 38754 Ph: () - | Community Health Clinic 102 Julia Street Isola MS 38754 Ph: (662) 962-7923 |
| NPI Number | 1982902458 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 03/08/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982902458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Mississippi) | Primary |
Julia Street Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Julia Street, Isola, MS 38754 Phone: 662-962-7923 |