| Fillingane Medical Clinic, Pa | |
|
1021 N Flowood Drive Flowood MS 39232-9533 | |
| (601) 664-2424 | |
| (601) 664-6675 |
| Full Name | Fillingane Medical Clinic, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1021 N Flowood Drive, Flowood, Mississippi |
| Authorized Official Name and Position | Freida L Fillingane (OFFICE MANAGER) |
| Authorized Official Contact | 6019064175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fillingane Medical Clinic, Pa Po Box 14153 Jackson MS 39236-4153 Ph: (601) 664-2424 | Fillingane Medical Clinic, Pa 1021 N Flowood Drive Flowood MS 39232-9533 Ph: (601) 664-2424 |
| NPI Number | 1386721546 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/28/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386721546 | NPI | - | NPPES |
| 00116048 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11114 (Mississippi) | Primary |
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