Marietta Family Clinic, Inc. in Marietta - Family
Marietta Family Clinic, Inc. - NPI 1922032812
Marietta Family Clinic, Inc. is a Family in Marietta, Mississippi. Marietta Family Clinic, Inc. practices all healthcare services and medical treatments related to Family. The NPI Number for Marietta Family Clinic, Inc. is 1922032812. The last update date is 2008-04-10.
Marietta Family Clinic, Inc.'s current location address is Po Box 56, Marietta, Mississippi. You can contact this provider via phone number 6627282408 and fax number 6627282409. The mailing address for Marietta Family Clinic, Inc. is Po Box 56, Marietta, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marietta Family Clinic, Inc. |
|---|---|
| Address | Po Box 56, Marietta, Mississippi |
| Phone Number | 6627282408 |
| Fax Number | 6627282409 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Slack Marie Kristi |
| Credentials | CFNP |
| Telephone Number | 6627282408 |
NPI Number Detail
| NPI Number | 1922032812 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2008-04-10 |
Provider Mailing Address Detail
| Address | Po Box 56 |
|---|---|
| City | Marietta |
| State | Mississippi (MS) |
| Post Code | 388560056 |
| Phone Number | 6627282408 |
| Fax Number | 6627282409 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R853095 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3282808 | MS | -- |
Post Comment/ Review Below
What is the Marietta Family Clinic, Inc.'s 1922032812?
The Marietta Family Clinic, Inc.'s NPI (National Provider Identifier) Number is 1922032812. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Marietta Family Clinic, Inc.'s facilities are situated?
The facilities of Marietta Family Clinic, Inc. are physically located at the following address: Po Box 56, Marietta, MS, 388560056.
What is Marietta Family Clinic, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Marietta Family Clinic, Inc. is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922032812 to Marietta Family Clinic, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1922032812 to Marietta Family Clinic, Inc. on 2006-07-10.
As of what date were the details related to Marietta Family Clinic, Inc. most recently updated or revised?
The information pertaining to Marietta Family Clinic, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-04-10.
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