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HORN LAKE FAMILY PRACTICE INC

Organization (NPI-2) Active

Family Medicine, Adolescent Medicine

Provider Information

NPI Number
1508968421
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
3102 GOODMAN RD W, HORN LAKE, MS, 386371172
Phone
(662) 342-6677
Fax
(662) 342-1213

Specialties & Taxonomies

Family Medicine, Adolescent Medicine Primary License: MS #15476

All Addresses

MAILING

3102 GOODMAN RD W

HORN LAKE, MS, 386371172

(662) 342-6677

LOCATION

3102 GOODMAN RD W

HORN LAKE, MS, 386371172

(662) 342-6677