TRACE MEDICAL CLINIC

KOSCIUSKO, MS
NPI1033383815
Entity TypeOrganization
Authorized ContactEDWARD E BRYANT
President/Owner
662-289-9155
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2008-04-14
Last Update Date2008-05-27
Business Address
TRACE MEDICAL CLINIC
530 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090-3858
Phone number: 662-289-9155
Mailing Address
TRACE MEDICAL CLINIC
530 VETERANS MEMORIAL DR
KOSCIUSKO, MS 39090-3858
Phone number: 662-289-9155
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