| Newsom Healthcare, Inc | |
|
2906 Goodman Rd W Suite 109 Horn Lake MS 38637-1291 | |
| (662) 393-8022 | |
| (662) 393-8052 |
| Full Name | Newsom Healthcare, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2906 Goodman Rd W, Horn Lake, Mississippi |
| Authorized Official Name and Position | Pam Alexander (ADMINISTRATOR) |
| Authorized Official Contact | 9017565565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Newsom Healthcare, Inc 3249 W Sarazens Cir Memphis TN 38125-0807 Ph: (901) 756-5565 | Newsom Healthcare, Inc 2906 Goodman Rd W Suite 109 Horn Lake MS 38637-1291 Ph: (662) 393-8022 |
| NPI Number | 1972751154 |
|---|---|
| Provider Enumeration Date | 08/30/2008 |
| Last Update Date | 11/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972751154 | NPI | - | NPPES |
| 07823202 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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