| Pelahatchie Family Medicine | |
|
507 Second St Pelahatchie MS 39145-2786 | |
| (601) 854-8002 | |
| Not Available |
| Full Name | Pelahatchie Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 507 Second St, Pelahatchie, Mississippi |
| Authorized Official Name and Position | William Krooss (MANAGING PARTNER) |
| Authorized Official Contact | 6019323191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelahatchie Family Medicine Po Box 320609 Flowood MS 39232-0609 Ph: (601) 932-3191 | Pelahatchie Family Medicine 507 Second St Pelahatchie MS 39145-2786 Ph: (601) 854-8002 |
| NPI Number | 1982942223 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 09/22/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982942223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Care Plus Pelahatchie Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 Highway 80 East, Pelahatchie, MS 39145 Phone: 601-854-8002 Fax: 601-854-7333 | |
Family Health Care Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 100 Brooks Avenue, Pelahatchie, MS 39145 Phone: 601-854-6805 Fax: 601-854-6813 |