Organization Name: | HEALTH 1ST FAMILY MEDICAL CLINIC, LLC |
NPI Number: | 1114989787 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOYNER COX JOYNER (CO-OWNER) |
Mailing Address: | 2422 Church St 2422 Church Street Byhalia |
State: | MS US |
Postal Code: | 386119552 |
Phone Number: | 6628385565 |
Fax Number: | 6628384770 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R856013/R861080 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |