SOUTH RIDGE FAMILY CLINIC, LLC

Family Medicine

Active Organization
NPI: 1881930469

Practice Address

80 HAL CROCKER RD
Ellisville, MS 39437

Phone: (601) 477-2221

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1881930469 is the National Provider Identifier for SOUTH RIDGE FAMILY CLINIC, LLC, a Family Medicine provider located in Ellisville, MS. This NPI was enumerated on December 31, 2012.

Quick Facts

NPI
1881930469
Type
Organization
Enumerated
Dec 31, 2012
Last Updated
Dec 31, 2012

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