| West Point Internal Medicine Clinic, Pa | |
|
830 Medical Center Dr West Point MS 39773-9319 | |
| (662) 377-4685 | |
| Not Available |
| Full Name | West Point Internal Medicine Clinic, Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 830 Medical Center Dr, West Point, Mississippi |
| Authorized Official Name and Position | Edmund Anderson Miller (OWNER) |
| Authorized Official Contact | 6623774685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Point Internal Medicine Clinic, Pa 830 Medical Center Dr West Point MS 39773-9319 Ph: (662) 377-4685 | West Point Internal Medicine Clinic, Pa 830 Medical Center Dr West Point MS 39773-9319 Ph: (662) 377-4685 |
| NPI Number | 1235361304 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 04/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235361304 | NPI | - | NPPES |
| 00115012 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 28771 (Mississippi) | Primary |
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