Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Olive Branch Family Medical Center

Organization Family Medicine Physician · NPI 1629018478

Olive Branch Family Medical Center is a Family Medicine Physician in Olive Branch, Mississippi. Works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

9075 Sandidge Center Cv
Olive Branch, MS 38654-3514
Phone: (662) 895-4949
Fax: (662) 895-6776
Show map & directions

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

Additional practice locations (1)

  • 8135 Goodman Rd, Olive Branch, MS 38654-2103 — (662) 895-4949

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (MS)

Record details

NPI number1629018478
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amy Green — Business Office Manager · (662) 893-8484
NPI enumeratedJune 8, 2006
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address9075 Sandidge Center Cv, Olive Branch, MS 38654-3514

Other providers in Olive Branch