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Contact Information

FIRST CHOICE FAMILY MEDICAL CLINIC, LLC
75 HIGHWAY 388
BROOKSVILLE, MS39739
 Phone: 662-738-5544
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for FIRST CHOICE FAMILY MEDICAL CLINIC, LLC

NPI Number 1124644968
LBN Legal business name FIRST CHOICE FAMILY MEDICAL CLINIC, LLC
Authorized official KATHY GLOVER - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2020
Last updated 03/15/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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