CANTON FAMILY CLINIC INC.
Ambulatory Health at Academy St, Way, MS

License number
Mississippi 09015552
Category
Ambulatory Health
Type
Primary Care
Owner
Name: MR. JERRY LOUSTEAU
Title: CLINIC ADMINISTRATOR
Phone: (601) 859-2611
Address
Address
120 E Academy St, Way, MS 39046
National Provider ID: 1902088453
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about CANTON FAMILY CLINIC INC. at bizstanding.com

CANTON FAMILY CLINIC, INC

120 E Academy St, Canton, MS 39046

Status:
Inactive
State ID:
692902
Incorporators:
Joanna Lousteau (Director, President), 254 Fox Ln, Canton, MS 39046,Jerry Lousteau (Director, Secretary, Treasurer, Vice President), 254 Fox Ln, Canton, MS 39046,William R. Collins (Incorporator), 3350 N Liberty St STE A, Canton, MS 39046

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