Spears Medical Clinic PLLC
Nurse Practitioner, Family in Summit, MS. Organization (NPI-2).
NPI number1003497751
StatusActive
Last updated in NPPESApr 30, 2025
Details
- NPI
- 1003497751
- Entity type
- Organization (NPI-2)
- Legal business name
- Spears Medical Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2021
- Certification date
- Apr 30, 2025
- Last updated
- Apr 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | – | – | Yes |
Practice location
804 Robb StSummit, MS 39666-8291
Phone 601-608-0900 · Fax 601-600-2171
Mailing address
Po Box 54Summit, MS 39666-0054
Phone 601-608-0900 · Fax 601-600-2171
Authorized official
Damon Scott Spears
Owner
6016006522
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