Grace & Mercy Family Medical Clinic, Pllc in Jackson - Family Medicine
Grace & Mercy Family Medical Clinic, Pllc - NPI 1629267653
Grace & Mercy Family Medical Clinic, Pllc is a Family Medicine in Jackson, Mississippi. Grace & Mercy Family Medical Clinic, Pllc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Grace & Mercy Family Medical Clinic, Pllc is 1629267653. The last update date is 2012-12-10.
Grace & Mercy Family Medical Clinic, Pllc's current location address is 2106 Raymond Rd, Jackson, Mississippi. You can contact this provider via phone number 6013731055 and fax number 6013731774. The mailing address for Grace & Mercy Family Medical Clinic, Pllc is 2106 Raymond Rd, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grace & Mercy Family Medical Clinic, Pllc |
|---|---|
| Address | 2106 Raymond Rd, Jackson, Mississippi |
| Phone Number | 6013731055 |
| Fax Number | 6013731774 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Odom-Funches M. Rhonda |
| Credentials | M.D. |
| Telephone Number | 6013731055 |
NPI Number Detail
| NPI Number | 1629267653 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2012-12-10 |
Provider Mailing Address Detail
| Address | 2106 Raymond Rd |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392122300 |
| Phone Number | 6013731055 |
| Fax Number | 6013731774 |
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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What is the unique provider identifier assigned to Grace & Mercy Family Medical Clinic, Pllc?
The Grace & Mercy Family Medical Clinic, Pllc has been issued the NPI (National Provider Identifier) 1629267653 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Grace & Mercy Family Medical Clinic, Pllc is physically located?
The Grace & Mercy Family Medical Clinic, Pllc is physically situated at the following address: 2106 Raymond Rd, Jackson, MS, 392122300.
What is Grace & Mercy Family Medical Clinic, Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Grace & Mercy Family Medical Clinic, Pllc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date was the 1629267653 assigned to Grace & Mercy Family Medical Clinic, Pllc?
The Grace & Mercy Family Medical Clinic, Pllc was issued its 1629267653 on 2007-10-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Grace & Mercy Family Medical Clinic, Pllc most recently updated?
The details pertaining to the Grace & Mercy Family Medical Clinic, Pllc, including its address, specialty, and other relevant information, were last refreshed on 2012-12-10.
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