Whalio Doctors

NPI 1003005125

Nettleton Family Medical Clinic, INC.

Organisation Primary Care Clinic/Center Nettleton, MS

Practice location

Address
1495 Maple Rd, Nettleton, MS 38858-6026
Phone
(662) 963-9146
Fax
(662) 963-9186
Mailing address
1495 Maple Rd, Nettleton, Ms, MS 38858-6026

Authorised official

Name
Andrew Curry Justice
Title
Owner
Phone
(662) 963-9146

Registered specialties (2)

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence R850606 (MS)
Primary Care Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence R682403 (MS)

Registry record

NPI
1003005125
Entity type
Organization
NPI issued
15 Oct 2007
Record last updated
13 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.