Hickory Family Medical Clinic INC
Family Medicine in Hickory, MS. Organization (NPI-2).
NPI number1093284366
StatusActive
Last updated in NPPESNov 16, 2018
Details
- NPI
- 1093284366
- Entity type
- Organization (NPI-2)
- Legal business name
- Hickory Family Medical Clinic INC
- Organization subpart
- No
- Enumeration date
- Nov 16, 2018
- Last updated
- Nov 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
18199 Highway 80Hickory, MS 39332-3452
Phone 601-646-5445
Mailing address
Po Box 220Hickory, MS 39332-0220
Phone 601-646-5445
Authorized official
Andrea Morgan
Owner
6019548096
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