Mississippi Family Medicine P C, NPI 1669522942
Primary Care Clinic/Center in Waynesboro, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1669522942
NPI Entity Type Organization
Provider Name Mississippi Family Medicine P C
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 940 Matthew Dr, Suite 2, Waynesboro, MS, US
Provider Mailing Address 940 Matthew Dr, Suite 2, Waynesboro, MS, US, 393672522
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Barbara Dearman
Official Position INSURANCE CLERK
Phone 601-671-8555

Primary Taxonomy

Taxonomy Code

261QP2300X

Taxonomy Name Primary Care Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

Description Definition to come...

Business Address

Mississippi Family Medicine P C
940 Matthew Dr
Suite 2

Waynesboro, MS, US

Phone: 601-671-8555
Fax: 601-671-0777

Mailing Address

Mississippi Family Medicine P C
940 Matthew Dr
Suite 2
Waynesboro, MS, US
ZIP 393672522
Phone: 601-671-8555
Fax: 601-671-0777

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0117444 MS MEDICAID 05
279588 MS DR. TYNES 01
009926375 AL DR. STROKLEY 01
0113843 MS MEDICAID 05
C02214 MS MEDICARE PROVIDER ID 01
00964 AL DR. STOKLEY 01
009700450 AL DR. TYNES 01
279588 MS DR. STOKLEY 01
CD1005 PALMETTOGBA - RAILROAD MEDICARE 01
073075294TYN AL DR. TYNES 01

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IDD WAIVER SERVICES Pamela Mcandrews

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