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Parkway Family Medicine

Clinic/Center, Primary Care in Ridgeland, MS. Organization (NPI-2).

NPI number1528291341
StatusActive
Last updated in NPPESAug 27, 2009

Details

NPI
1528291341
Entity type
Organization (NPI-2)
Legal business name
Parkway Family Medicine
Organization subpart
No
Enumeration date
Aug 27, 2009
Last updated
Aug 27, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care16022MSYes

Practice location

100 Business Park Dr Ste A
Ridgeland, MS 39157-6015

Phone 601-991-3040 · Fax 601-991-3399

Mailing address

100 Business Park Dr Ste A
Ridgeland, MS 39157-6015

Phone 601-991-3040 · Fax 601-991-3399

Authorized official

Joyce Olutade
Physician
6019913040

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