Organization · NPI-2

Eure-Lay Clinic

Family Medicine · Bay Springs, MS

NPI number1063514008
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1063514008
Entity type
Organization (NPI-2)
Legal business name
Eure-Lay Clinic
Organization subpart
No
Enumeration date
Sep 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

433 Highway 18
Bay Springs, MS 39422

Phone 601-764-2143 · Fax 601-764-4890

Mailing address

Po Box 467
Bay Springs, MS 39422-0467

Phone 601-764-2143 · Fax 601-764-4890

Authorized official

A Keith Lay, Jr.
M. D.
6017642143

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