Phyllis G Koonce
Phyllis G Koonce is a Rural Health Clinic/Center in Blue Mountain, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
100 County Road 714Blue Mountain, MS 38610-9743
Phone: (662) 538-4111
Fax: (662) 538-4128
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rural Health Clinic/Center (primary) | Taxonomy 261QR1300X · Licence R125960 (MS) |
|---|
Record details
| NPI number | 1891911186 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phyllis Koonce — Owner Sole Provider · (662) 538-4111 |
| Other names | Cotton Plant Family Clinic |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | July 7, 2008 |
| Mailing address | 100 County Road 714, Blue Mountain, MS 38610-9743 |
Other providers in Blue Mountain
-
Blue Mountain Family Medicine Clinic
124 N Guyton, Blue Mountain, MS 38610 · (662) 685-4700
-
Cotton Plant Clinic
100 County Road 714, Blue Mountain, MS 38610-9743 · (662) 538-4111
-
Family Clinic of Cotton Plant, LLC
100 County Road 714, Blue Mountain, MS 38610-9743 · (662) 538-4111