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NPI Code Detail

MEDICARE: CARE PLUS PEARL CLINIC

MEDICARE: CARE PLUS PEARL CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1245420132
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARE PLUS PEARL CLINIC
Provider Business Mailing Address
First Line : 3825 HIGHWAY 80 E
Second Line :
City : PEARL
State : MS
Zip : 39208-4232
Country : US
Telephone Number : 601-939-1321
Fax Number : 601-939-1805
Provider Business Practice Location Address
First Line : 3825 HIGHWAY 80 E
Second Line :
City : PEARL
State : MS
Zip : 39208-4232
Country : US
Telephone Number : 601-939-1321
Fax Number : 601-939-1805
Authorized Official
Title or Position : REGIONAL MANAGER
Name : BRAD SINCLAIR
Credential :
Telephone Number : 601-936-3102
Provider Enumeration Date : 07/27/2007
Last Update Date : 05/29/2008

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Directions to “CARE PLUS PEARL CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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