EAST MAIN FAMILY MEDICAL CLINIC LLC

TUPELO, MS
NPI1285072058
Entity TypeOrganization
Authorized ContactRODNEY RODGERS
Owner/Nurse Practitioner
662-350-3550
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2013-06-13
Last Update Date2020-09-08
Business Address
EAST MAIN FAMILY MEDICAL CLINIC LLC
1424 E MAIN ST
TUPELO, MS 38804-2956
Phone number: 662-842-4877
Mailing Address
EAST MAIN FAMILY MEDICAL CLINIC LLC
1424 E MAIN ST
TUPELO, MS 38804-2956
Phone number: 662-350-3550