Organization · Type 2 NPI

Horn Lake Family Practice Inc

Adolescent Medicine (Family Medicine) Physician · Horn Lake, MS

NPI number 1508968421 Active

Practice location

3102 Goodman Rd W
Horn Lake, MS 38637-1172

Call (662) 342-6677 Map

Fax (662) 342-1213

Specialties and licenses

TaxonomyCodeLicense
Adolescent Medicine (Family Medicine) Physician Primary 207QA0000X15476 (MS)

Adolescent Medicine (Family Medicine) Physician: A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

5 other providers at this address

About NPI 1508968421

Horn Lake Family Practice Inc's National Provider Identifier is 1508968421, issued on Sep 1, 2006. The primary taxonomy on file is Adolescent Medicine (Family Medicine) Physician (207QA0000X), and the practice location is in Horn Lake, MS. The record was last updated on Jul 21, 2015.