NPI 1417027921

First Care Family Clinic

Organisation Preferred Provider Organization Tupelo, MS

Practice location

Address: 874 Barnes Crossing Rd Suite a, Tupelo, MS 38804-0909
Phone: (662) 620-1496
Fax: (662) 620-6535

Authorised official

Name: Barbara Bryan
Title: Office Manager
Phone: (662) 620-1496

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence C02970 (MS)

Other Preferred Provider Organization providers in Mississippi →

Registry record

NPI: 1417027921
Entity type: Organization
NPI issued: 9 Nov 2006
Record last updated: 20 Dec 2007

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.