MEDICARE: CARING HEALTH CLINIC PC

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
1	207R00000X	Internal Medicine Physician
2	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1487603510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARING HEALTH CLINIC PC

Provider Business Mailing Address
First Line	:	1542 N MEDICAL PARK DR # 1
Second Line	:	PO BOX 4716
City	:	GREENVILLE
State	:	MS
Zip	:	38703-7239
Country	:	US
Telephone Number	:	662-334-6448
Fax Number	:	662-334-6461

Provider Business Practice Location Address
First Line	:	1542 N MEDICAL PARK DR # 1
Second Line	:
City	:	GREENVILLE
State	:	MS
Zip	:	38703-7239
Country	:	US
Telephone Number	:	662-334-6448
Fax Number	:	662-334-6461

Authorized Official
Title or Position	:	PRESIDENT OWNER
Name	:	DR. AMITA N PATEL
Credential	:	MD
Telephone Number	:	662-334-6448

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/15/2007

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Directions to “CARING HEALTH CLINIC PC ” Practice Location

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