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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RESERVOIR FAMILY MEDICAL CLINIC, PA

Active Organization

RESERVOIR FAMILY MEDICAL CLINIC, PA is a Family Medicine organization located in FLOWOOD, Mississippi. NPI 1770929713 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FLOWOOD, MS

Registration Details

NPI Number
1770929713
Provider Type
Organization
NPI Issued
May 17, 2013 (13.221203316999 yrs)
Last Updated
May 29, 2013
License
09099 (MS)

Practice Information

Address
1679 OLD FANNIN RD STE E
FLOWOOD, MS, 392328101
Browse MS providers · Browse ZIP 39232
Phone
6019926511
Fax
6019925684
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.