NPI 1689860629
Evergreen Family Medical Clinic INC
Practice location
- Address
- 4929 Highway 371 S, Nettleton, MS 38858-6901
- Phone
- (662) 963-9154
- Fax
- (662) 963-9157
Authorised official
- Name
- Cynthia Jeanesse Rushing
- Title
- Cfnp/Owner
- Phone
- (662) 963-9154
Registered specialties
Rural Health Clinic/Center
Primary
Registry record
- NPI
- 1689860629
- Entity type
- Organization
- NPI issued
- 24 Sep 2007
- Record last updated
- 21 Jul 2022
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.