Organization · Type 2 NPI
Phyllis G Koonce
Rural Health Clinic/Center · Blue Mountain, MS
NPI number
1891911186
Active
Practice location
100 County Road 714
Blue Mountain, MS 38610-9743
Fax (662) 538-4128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | R125960 (MS) |
Rural Health Clinic/Center: Definition to come...
3 other providers at this address
Other rural health clinic/center providers in Blue Mountain
About NPI 1891911186
Phyllis G Koonce's National Provider Identifier is 1891911186, issued on Apr 17, 2007. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Blue Mountain, MS. The record was last updated on Jul 7, 2008.