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624 Old Saint Marys Rd Suite A Perryville MO 63775-1837 | |
(573) 547-3232 | |
(573) 547-3231 |
Full Name | |
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Speciality | Family Medicine |
Location | 624 Old Saint Marys Rd, Perryville, Missouri |
Authorized Official Name and Position | Amelia D Ledbetter (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 5733354715 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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624 Old Saint Marys Rd Suite A Perryville MO 63775-1837 Ph: (573) 547-3232 | 624 Old Saint Marys Rd Suite A Perryville MO 63775-1837 Ph: (573) 547-3232 |
NPI Number | 1477909372 |
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Provider Enumeration Date | 05/10/2016 |
Last Update Date | 05/10/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477909372 | NPI | - | NPPES |
MA1758 | Other | MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
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