WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC

TUPELO, MS
NPI1427429992
Entity TypeOrganization
Authorized ContactNEIL VICKERS
Owner
813-712-9638
Organization Subpart ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
Enumeration Date2015-10-09
Last Update Date2015-10-09
Business Address
WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
65 S THOMAS ST
TUPELO, MS 38801-4352
Phone number: 813-712-9638
Mailing Address
WESTSIDE FAMILY MEDICAL CLINIC OF TUPELO LLC
65 S THOMAS ST
TUPELO, MS 38801-4352
Phone number: 813-712-9638
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