| Glover Primary Care Clinic | |
|
403 Nw Depot St Durant MS 39063-3705 | |
| (662) 316-1334 | |
| Not Available |
| Full Name | Glover Primary Care Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 403 Nw Depot St, Durant, Mississippi |
| Authorized Official Name and Position | Sarita Gloverjackson (FAMILY NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 6623161334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glover Primary Care Clinic 403 Nw Depot St Durant MS 39063-3705 Ph: (662) 316-1334 | Glover Primary Care Clinic 403 Nw Depot St Durant MS 39063-3705 Ph: (662) 316-1334 |
| NPI Number | 1063849578 |
|---|---|
| Provider Enumeration Date | 09/28/2013 |
| Last Update Date | 09/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063849578 | NPI | - | NPPES |
| R856333 | Other | MS | NURSE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R856333 (Mississippi) | Primary |
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