| Walley Clinic Pa | |
|
920 Matthew Dr Ste A Waynesboro MS 39367-2567 | |
| (601) 735-2401 | |
| (601) 735-5205 |
| Full Name | Walley Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 920 Matthew Dr, Waynesboro, Mississippi |
| Authorized Official Name and Position | Eletha Jane Jenkins (CEO) |
| Authorized Official Contact | 6017352401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walley Clinic Pa 920 Matthew Dr Ste A Waynesboro MS 39367-2567 Ph: (601) 735-2401 | Walley Clinic Pa 920 Matthew Dr Ste A Waynesboro MS 39367-2567 Ph: (601) 735-2401 |
| NPI Number | 1669463584 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 02/27/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669463584 | NPI | - | NPPES |
| 09011779 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Patients' Choice Medical Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 Azalea Dr, Suite F, Waynesboro, MS 39367 Phone: 601-735-3737 | |
Wayne General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 951 Matthew Dr Ste A, Waynesboro, MS 39367 Phone: 601-735-2401 Fax: 601-735-5205 | |
Wayne General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 Matthew Dr Ste D, Waynesboro, MS 39367 Phone: 601-671-2795 Fax: 601-735-4227 | |
Wayne General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 Matthew Dr, Suite 5, Waynesboro, MS 39367 Phone: 601-735-7285 | |
Wayne General Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Matthew Dr Ste 8, Waynesboro, MS 39367 Phone: 601-735-7246 Fax: 601-735-7248 | |
Wayne General Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1325 Azalea Dr, Waynesboro, MS 39367 Phone: 601-671-2825 |