NPI
Shannon Family Medical Clinic, LLC
NPI 1568633964
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2008-03-13
- Last updated
- 2018-06-25
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Specialties
Licenses
- License MS
- R819576
Location
- Practice location
- 219 Broad St
- City
- Shannon MS
- Postal code
- 38868
- Phone
- (662) 995-2201
Organization contact
- Name
- Norris Doss
- Title
- Owner
- Phone
- (662) 995-2201
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Shannon, MS. 9 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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