Madison Hma Physician Management, LLC
Family Medicine in Canton, MS. Organization (NPI-2).
NPI number1750652178
StatusActive
Last updated in NPPESNov 27, 2012
Details
- NPI
- 1750652178
- Entity type
- Organization (NPI-2)
- Legal business name
- Madison Hma Physician Management, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 17, 2012
- Last updated
- Nov 27, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Careplus At Nissan Parkway (Doing Business As)
Practice location
160 River Oaks DrCanton, MS 39046-5376
Phone 601-855-4840 · Fax 601-855-4845
Mailing address
5811 Pelican Bay BlvdSuite 500
Naples, FL 34108-2733
Phone 239-598-3131 · Fax 239-592-0438
Authorized official
Michael L Gingras
Vice President
2395983131
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All 13 Family Medicine Physician providers in Canton · All 404 providers in Canton
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