| Family Clinic,pllc | |
|
350 Cowan Rd Gulfport MS 39507-2008 | |
| (228) 896-5195 | |
| (228) 897-2395 |
| Full Name | Family Clinic,pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 350 Cowan Rd, Gulfport, Mississippi |
| Authorized Official Name and Position | Eugene David Mcnally (OWNER) |
| Authorized Official Contact | 2288965195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic,pllc 350 Cowan Rd Gulfport MS 39507-2008 Ph: (228) 896-5195 | Family Clinic,pllc 350 Cowan Rd Gulfport MS 39507-2008 Ph: (228) 896-5195 |
| NPI Number | 1902054679 |
|---|---|
| Provider Enumeration Date | 09/05/2008 |
| Last Update Date | 07/19/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902054679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 11462 (Mississippi) | Primary |
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