Reservoir Family Medical Clinic, Pa
LBN: Reservoir Family Medical Clinic, Pa
Reservoir Family Medical Clinic, Pa is an health care organization with primary practice located at 1679 Old Fannin Rd Ste E , Flowood MS 39232-8101. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Reservoir Family Medical Clinic, Pa can be contacted via phone (601) 992-6511, or through Crenshaw, Charles Naurice via phone (601) 992-6511.
Contact Information
Primary practice address
1679 Old Fannin Rd Ste E
Flowood MS 39232-8101
Phone: (601) 992-6511
Fax: (601) 992-5684
Website:
Authorized official contact:
Name: Crenshaw, Charles Naurice Doctor of Medicine (MD)
Phone: (601) 992-6511
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 09099 | Mississippi |
Profile Details
| NPI number | 1770929713 |
|---|---|
| LBN Legal business name | Reservoir Family Medical Clinic, Pa |
| DBA Doing business as | |
| Authorized official | Crenshaw, Charles Naurice Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 2013 |
| Last updated | May 29th, 2013 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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