Organization · Type 2 NPI
PSP Medical Clinic
Primary Care Clinic/Center · Gluckstadt, MS
NPI number
1245581370
Active
Practice location
1082A Gluckstadt Rd
Gluckstadt, MS 39110-7243
Mailing address
PO Box 607
Canton, MS 39046-0607
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
About NPI 1245581370
PSP Medical Clinic's National Provider Identifier is 1245581370, issued on Sep 28, 2012. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Gluckstadt, MS. The record was last updated on Jun 8, 2026.