Organization · Type 2 NPI
Shannon Family Medical Clinic, LLC
Rural Health Clinic/Center · Shannon, MS
NPI number
1568633964
Active
Practice location
219 Broad St
Shannon, MS 38868
Fax (662) 995-2202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | R819576 (MS) |
Rural Health Clinic/Center: Definition to come...
Another provider at this address
About NPI 1568633964
Shannon Family Medical Clinic, LLC's National Provider Identifier is 1568633964, issued on Mar 13, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Shannon, MS. The record was last updated on Jun 25, 2018.