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1003900655
BETHANY MEDICAL CLINIC
CLEVELAND, MS
NPI
1003900655
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Entity Type
Organization
Authorized Contact
CHARLINE BRANDON
Administrator
662-846-5032
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-10-03
Last Update Date
2009-07-30
Business Address
BETHANY MEDICAL CLINIC
548 ROSEMARY ROAD SUITE A
CLEVELAND, MS 38732-0358
Phone number: 662-846-5032
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Mailing Address
BETHANY MEDICAL CLINIC
PO BOX 358 548 ROSEMARY ROAD
CLEVELAND, MS 38732-0358
Phone number: 662-846-5032
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