Unknown Individual – Family Medicine Physician, NPI 1881617090
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
112, Hillcrest Road, West Point, Clay County, Mississippi, 39773, United States
WEST POINT, GA 318335208
Phone: (706) 645-1655
Type: Mailing
14, Medical Park, Dimmeydale, Pleasant Valley, Wheeling, Ohio County, West Virginia, 26003, United States
VALLEY, AL 368543665
Phone: (334) 756-4136
Fax: (334) 756-5742
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 31833)
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