| Maximum Care After Hours Clinic, Llc | |
|
212 Highway 61 Shaw MS 38773-3877 | |
| (662) 588-8009 | |
| Not Available |
| Full Name | Maximum Care After Hours Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 212 Highway 61, Shaw, Mississippi |
| Authorized Official Name and Position | Tammarin Collins (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6625888009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maximum Care After Hours Clinic, Llc Po Box 26 Shaw MS 38773-0026 Ph: (662) 588-8009 | Maximum Care After Hours Clinic, Llc 212 Highway 61 Shaw MS 38773-3877 Ph: (662) 588-8009 |
| NPI Number | 1669018008 |
|---|---|
| Provider Enumeration Date | 11/20/2019 |
| Last Update Date | 01/23/2020 |
| Medicare PECOS PAC ID | 5395173355 |
|---|---|
| Medicare Enrollment ID | O20200325002049 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669018008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Tammarin S Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184129306 PECOS PAC ID: 8820342280 Enrollment ID: I20181121001571 |
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