| Treesap Clinic, Inc. | |
|
28301 Highway 15 Walnut MS 38683-9753 | |
| (662) 223-0063 | |
| (662) 223-0079 |
| Full Name | Treesap Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 28301 Highway 15, Walnut, Mississippi |
| Authorized Official Name and Position | James W. Taylor (OWNER) |
| Authorized Official Contact | 6622230063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treesap Clinic, Inc. 28301 Highway 15 Walnut MS 38683-9753 Ph: (662) 223-0063 | Treesap Clinic, Inc. 28301 Highway 15 Walnut MS 38683-9753 Ph: (662) 223-0063 |
| NPI Number | 1861673139 |
|---|---|
| Provider Enumeration Date | 11/15/2007 |
| Last Update Date | 11/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861673139 | NPI | - | NPPES |
| 1265451991 | Other | MS | INDIVIDUAL NPI |
| 03333061 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R732656 (Mississippi) | Primary |
Tippah County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 28301 Highway 15, Walnut, MS 38683 Phone: 662-837-9221 | |
North Mississippi Primary Health Care, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 531 Main St, Walnut, MS 38683 Phone: 662-223-4011 Fax: 662-223-4018 |