Organization · NPI-2
New Hope Family Medical Clinic
Clinic/Center · Columbus, MS
NPI number1699400184
StatusActive
Last updated in NPPESDec 5, 2022
Details
- NPI
- 1699400184
- Entity type
- Organization (NPI-2)
- Legal business name
- New Hope Family Medical Clinic
- Organization subpart
- No
- Enumeration date
- Jul 19, 2022
- Certification date
- Dec 5, 2022
- Last updated
- Dec 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2110 Lake Lowndes RdColumbus, MS 39702-9655
Phone 662-798-0445 · Fax 833-962-3812
Mailing address
2110 Lake Lowndes RdColumbus, MS 39702-9655
Phone 662-798-0445
Authorized official
Carrie Dozier
Nurse Practitioner/Owner
6627980445
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