| Superior Health And Wellness | |
|
2085 Goodman Rd W Horn Lake MS 38637-1416 | |
| (662) 253-8459 | |
| (662) 253-8678 |
| Full Name | Superior Health And Wellness |
|---|---|
| Speciality | Family Medicine |
| Location | 2085 Goodman Rd W, Horn Lake, Mississippi |
| Authorized Official Name and Position | Diane Ferguson (OWNER) |
| Authorized Official Contact | 6019426902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Health And Wellness 5885 Airline Rd Unit 962 Arlington TN 38002-5121 Ph: (901) 317-7427 | Superior Health And Wellness 2085 Goodman Rd W Horn Lake MS 38637-1416 Ph: (662) 253-8459 |
| NPI Number | 1396134151 |
|---|---|
| Provider Enumeration Date | 01/16/2015 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 0446578660 |
|---|---|
| Medicare Enrollment ID | O20150417001003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396134151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Diane Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265525331 PECOS PAC ID: 1850469867 Enrollment ID: I20081003000687 |
| Provider Name | Lanissa Odor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083056386 PECOS PAC ID: 7810130473 Enrollment ID: I20150421001682 |
Southern Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6426 Highway 51 N, Horn Lake, MS 38637 Phone: 662-342-4080 Fax: 662-342-4933 | |
Newsom Healthcare Of Desoto County, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2906 Goodman Rd W, Suite 109, Horn Lake, MS 38637 Phone: 662-393-8022 Fax: 662-393-8052 | |
Horn Lake Chiropractic Centre, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-5368 Fax: 662-342-7980 | |
Horn Lake Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3102 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-342-6677 Fax: 662-342-1213 | |
Convenient Care Clinic, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3040 Goodman Rd West, Horn Lake, MS 38637 Phone: 662-578-2030 Fax: 615-301-6550 | |
Comprehensive Family Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3040 Goodman Rd W, Horn Lake, MS 38637 Phone: 662-280-3428 Fax: 662-280-1736 |