| Organization Name: | BAPTIST MEDICAL CLINIC - CONVENIENT CARE |
| NPI Number: | 1013207091 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERRI E PARKER (MEDICAL CLINIC OFFICE COORDINATOR) |
| Mailing Address: | 5341 Lakeland Dr Flowood |
| State: | MS US |
| Postal Code: | 392326173 |
| Phone Number: | 6019192173 |
| Fax Number: | 6019199723 |
| NPI Enumeration Date: | 04/12/2011 |
| NPI Last Update Date: | 04/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |