Aberdeen Family Medical

Organization Active NPI Internal Medicine Physician · Aberdeen, MS

NPI 1598989774 · NPPES record last updated Jun 13, 2008

Key facts

NPI
1598989774
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
ABERDEEN FAMILY MEDICAL
Practice address
305 Highway 145 N
Aberdeen, MS 39730-2370
Phone
(662) 369-8018
NPI assigned
Apr 12, 2007
Organization subpart
No

Authorized official

Name
Chris Dedeaux
Title
Clinic Administrator
Phone
(662) 256-7112

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Gilmore Primary Care (17 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

305 Highway 145 N
Aberdeen, MS 39730-2370

Mailing address

123 Main St N
Amory, MS 38821-3416

Other providers in Aberdeen, MS

All providers in Aberdeen, MS · Internal Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.