Organization · Type 2 NPI

PSP Medical Clinic LLC

Rural Health Clinic/Center · Canton, MS

NPI number 1225320708 Active

Practice location

1171 Hart St
Canton, MS 39046-4805

Call (601) 859-9888 Map

Fax (601) 859-9004

Mailing address

PO Box 607
Canton, MS 39046-0607

Other practice locations

2629 Courthouse Cir, Flowood, MS 39232-9521 · (601) 420-4300
1435 Grand Ave, Yazoo City, MS 39194-2651 · (662) 746-3555
1082A Gluckstadt Rd, Madison, MS 39110-7243 · (601) 707-5621

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	15405 (MS)

Rural Health Clinic/Center: Definition to come...

13 other providers at this address

Other rural health clinic/center providers in Canton

PSP Medical Clinic LLCRural Health Clinic/Center Canton, MS NPI 1932144243

See all in Canton →

NPI record

NPI: 1225320708
Entity type: Organization (Type 2)
Issued: May 3, 2011
Last updated: Feb 6, 2024
Status: Active

Other names

<unavail>
Magnolia Medical Clinics · doing business as
Magnolia Medical Clinics · doing business as
Magnolia Medical Clinics Yazoo · doing business as

Authorized official

Dr. Parvesh K. Goel, MD
MD
(662) 746-3555

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1225320708

PSP Medical Clinic LLC's National Provider Identifier is 1225320708, issued on May 3, 2011. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Canton, MS. The record was last updated on Feb 6, 2024.