Family Medical Clinic Of Crystal Springs Pllc in Crystal Springs - Family Medicine
Family Medical Clinic Of Crystal Springs Pllc - NPI 1205915998
Family Medical Clinic Of Crystal Springs Pllc is a Family Medicine in Crystal Springs, Mississippi. Family Medical Clinic Of Crystal Springs Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Family Medical Clinic Of Crystal Springs Pllc is 1205915998. The last update date is 2011-09-30.
Family Medical Clinic Of Crystal Springs Pllc's current location address is 104 W Railroad Ave S, Crystal Springs, Mississippi. You can contact this provider via phone number 6018923063 and fax number 6018923570. The mailing address for Family Medical Clinic Of Crystal Springs Pllc is 104 W Railroad Ave S, Crystal Springs, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Family Medical Clinic Of Crystal Springs Pllc |
|---|---|
| Address | 104 W Railroad Ave S, Crystal Springs, Mississippi |
| Phone Number | 6018923063 |
| Fax Number | 6018923570 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ervin W James |
| Credentials | M.D. |
| Telephone Number | 6018923063 |
NPI Number Detail
| NPI Number | 1205915998 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2011-09-30 |
Provider Mailing Address Detail
| Address | 104 W Railroad Ave S |
|---|---|
| City | Crystal Springs |
| State | Mississippi (MS) |
| Post Code | 390592111 |
| Phone Number | 6018923063 |
| Fax Number | 6018923570 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6726832 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Family Medical Clinic Of Crystal Springs Pllc by the Centers for Medicare & Medicaid Services?
The Family Medical Clinic Of Crystal Springs Pllc has been assigned the NPI (National Provider Identifier) 1205915998. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Family Medical Clinic Of Crystal Springs Pllc is physically located?
The Family Medical Clinic Of Crystal Springs Pllc is situated at the following address: 104 W Railroad Ave S, Crystal Springs, MS 390592111.
What is the Family Medical Clinic Of Crystal Springs Pllc's area of specialization and corresponding taxonomy classification?
The Family Medical Clinic Of Crystal Springs Pllc's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Family Medical Clinic Of Crystal Springs Pllc receive its 1205915998 assignment from the Centers for Medicare & Medicaid Services?
The Family Medical Clinic Of Crystal Springs Pllc was assigned its 1205915998 by the Centers for Medicare & Medicaid Services on 2006-11-03.
As of what date were the Family Medical Clinic Of Crystal Springs Pllc's details last updated?
The information pertaining to the Family Medical Clinic Of Crystal Springs Pllc, including its address, specialty, and other details, was most recently updated on 2011-09-30.