| Psp Medical Clinic | |
|
2629 Courthouse Cir Flowood MS 39232-9521 | |
| (601) 420-4300 | |
| (601) 420-4310 |
| Full Name | Psp Medical Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2629 Courthouse Cir, Flowood, Mississippi |
| Authorized Official Name and Position | Parvesh K. Goel (MD) |
| Authorized Official Contact | 6018599888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psp Medical Clinic Po Box 607 Canton MS 39046 Ph: (601) 859-9888 | Psp Medical Clinic 2629 Courthouse Cir Flowood MS 39232-9521 Ph: (601) 420-4300 |
| NPI Number | 1245502723 |
|---|---|
| Provider Enumeration Date | 01/31/2012 |
| Last Update Date | 04/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245502723 | NPI | - | NPPES |
| 25D2047948 | Other | MS | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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