| Mid-south Convenient Care, Pllc | |
|
521 Hwy 51 North Ripley TN 38063 | |
| (731) 286-6611 | |
| Not Available |
| Full Name | Mid-south Convenient Care, Pllc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 521 Hwy 51 North, Ripley, Tennessee |
| Authorized Official Name and Position | Pankaj Srivastava (OWNER) |
| Authorized Official Contact | 7314454987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-south Convenient Care, Pllc 1445 Us Highway 51 Byp E Suite B Dyersburg TN 38024-2127 Ph: (731) 286-1900 | Mid-south Convenient Care, Pllc 521 Hwy 51 North Ripley TN 38063 Ph: (731) 286-6611 |
| NPI Number | 1477984508 |
|---|---|
| Provider Enumeration Date | 11/27/2013 |
| Last Update Date | 08/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477984508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD0000034709 (Tennessee) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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