| Walnut Grove Medical Associates | |
|
110 Park St Walnut Grove MS 39189-6526 | |
| (601) 253-0173 | |
| (601) 253-0176 |
| Full Name | Walnut Grove Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 110 Park St, Walnut Grove, Mississippi |
| Authorized Official Name and Position | Cheryl L Savell (PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6013891563 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Grove Medical Associates 110 Park St Walnut Grove MS 39189-6526 Ph: (601) 253-0173 | Walnut Grove Medical Associates 110 Park St Walnut Grove MS 39189-6526 Ph: (601) 253-0173 |
| NPI Number | 1255650321 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 01/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255650321 | NPI | - | NPPES |
| 1033196977 | Other | MS | DR'S NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12146 (Mississippi) | Primary |
Walnut Grove Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 199 Rimmer St, Walnut Grove, MS 39189 Phone: 601-253-2733 Fax: 601-253-2733 | |
Bmc Leake Walnut Grove Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Park St, Walnut Grove, MS 39189 Phone: 601-267-1400 |