The Carrollton Clinic

LBN: Dr Susan Jenay Neely Pllc
The Carrollton Clinic is an health care organization with primary practice located at 502 George St , North Carrollton MS 38947-0220. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Dr Susan Jenay Neely Pllc can be contacted via phone (662) 237-4525, or through Neely, Susan Jenay via phone (662) 237-4525.

Contact Information

Primary practice address
502 George St North Carrollton MS 38947-0220
Phone: (662) 237-4525
Fax: (662) 237-9781
Website:
Map and Directions
Authorized official contact:
Name: Neely, Susan Jenay Doctor of Osteopathy (DO)
Phone: (662) 237-4525

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1558588509
LBN Legal business name Dr Susan Jenay Neely Pllc
DBA Doing business as The Carrollton Clinic
Authorized official Neely, Susan Jenay Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2007
Last updated Aug 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558588509 NPPES
Mississippi MEDICAID 01588099
Mississippi MEDICAID 00121561
Mississippi Other 426493934A
Mississippi Other P00228400

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