Horn Lake Family Practice Inc

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1508968421

Horn Lake Family Practice Inc is an Adolescent Medicine (Family Medicine) Physician in Horn Lake, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in: MS
In the registry since: 2006

What do these letters mean?

Inc — Incorporated: A form of business registration, not a clinical qualification.

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Practice location Address checks out

3102 Goodman Rd W
Horn Lake, MS 38637-1172
Phone: (662) 342-6677
Fax: (662) 342-1213

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adolescent Medicine (Family Medicine) Physician (primary)	Taxonomy 207QA0000X · Licence 15476 (MS)

Record details

NPI number	1508968421
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Sheetal Sharma — Office Manager · (662) 342-6677
NPI enumerated	September 1, 2006
Last updated in NPPES	July 21, 2015
Mailing address	3102 Goodman Rd W, Horn Lake, MS 38637-1172