| S&m Medical Clinic | |
|
403 Northwest Depot Street Durant MS 39063 | |
| (662) 633-9633 | |
| Not Available |
| Full Name | S&m Medical Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 Northwest Depot Street, Durant, Mississippi |
| Authorized Official Name and Position | Latonya Smith (OWNER) |
| Authorized Official Contact | 6626339633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S&m Medical Clinic 57 Bailey St Durant MS 39063 Ph: (662) 633-9633 | S&m Medical Clinic 403 Northwest Depot Street Durant MS 39063 Ph: (662) 633-9633 |
| NPI Number | 1912433459 |
|---|---|
| Provider Enumeration Date | 05/03/2017 |
| Last Update Date | 05/03/2017 |
| Medicare PECOS PAC ID | 4880965938 |
|---|---|
| Medicare Enrollment ID | O20170808000725 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912433459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (Mississippi) | Primary |
| Provider Name | Linda P Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023186038 PECOS PAC ID: 6406857739 Enrollment ID: I20070129000613 |
| Provider Name | Calvin Ramsey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508919648 PECOS PAC ID: 0143131037 Enrollment ID: I20111108000829 |
| Provider Name | Amanda Lashel Wiltshire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437711991 PECOS PAC ID: 5395075428 Enrollment ID: I20191002002774 |
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