NPI 1134174154

Family Medical Clinic of North Ms INC

Organisation Family Medicine Physician Southaven, MS

Practice location

Address: 3451 Goodman Rd STE 115, Southaven, MS 38672-9304
Phone: (662) 890-5555
Fax: (662) 890-8899

Authorised official

Name: Robert L Skinner
Title: Vice President
Phone: (662) 850-5555

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1134174154
Entity type: Organization
NPI issued: 24 May 2006
Record last updated: 6 Feb 2008

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.