Durant Primary Care Clinic
Organization Active NPI Primary Care Clinic/Center · Durant, MS
NPI 1124100813 · NPPES record last updated Sep 29, 2009
Key facts
- NPI
- 1124100813
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- DURANT PRIMARY CARE CLINIC
- Practice address
- 638 Northwest Ave
Durant, MS 39063-3337 - Phone
- (662) 653-1002
- Fax
- (662) 653-1038
- NPI assigned
- Oct 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Elias Abboud, M.D.
- Title
- Owner
- Phone
- (662) 653-1002
Subparts reporting this organization as parent 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
638 Northwest Ave
Durant, MS 39063-3337
Mailing address
638 Northwest Ave
Durant, MS 39063-3337
Phone (662) 653-1002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01824892 | Medicaid | MS | |
| 09807861 | Medicaid | MS |
Other providers in Durant, MS
- Bell Dental Durant LLC
- Bell Pharmacy
- Wiley Clark Branch
- BSW Inc
- Durant Healthcare LLC
- Durant Public School District
- James Myers Ferguson
- Beverly Forrest-Butts
- Ronnie Gladney
- Glover Primary Care Clinic
All providers in Durant, MS · Primary Care Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.