Organization · Type 2 NPI

PSP Medical Clinic LLC

Rural Health Clinic/Center · Canton, MS

NPI number 1932144243 Active

Practice location

1171 Hart St
Canton, MS 39046-4805

Call (601) 859-9888 Map

Fax (601) 859-9966

Mailing address

P.o. Box 607
Canton, MS 39157

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 1225320708

See all in Canton →

NPI record

NPI: 1932144243
Entity type: Organization (Type 2)
Issued: Jun 19, 2006
Last updated: Apr 6, 2021
Status: Active

Other names

<unavail>
Madison Canton Medical Clinic · doing business as
Madison Canton Medical Clinic · doing business as
Magnolia Medical Clinics · doing business as

Authorized official

Mrs. Neelam Goel
Manager
(601) 859-9888

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 1932144243

PSP Medical Clinic LLC's National Provider Identifier is 1932144243, issued on Jun 19, 2006. 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 Apr 6, 2021.