Provider Demographics
NPI:1699400184
Name:NEW HOPE FAMILY MEDICAL CLINIC
Entity Type:Organization
Organization Name:NEW HOPE FAMILY MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOZIER
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:662-798-0445
Mailing Address - Street 1:2110 LAKE LOWNDES RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39702-9655
Mailing Address - Country:US
Mailing Address - Phone:662-798-0445
Mailing Address - Fax:
Practice Address - Street 1:2110 LAKE LOWNDES RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39702-9655
Practice Address - Country:US
Practice Address - Phone:662-798-0445
Practice Address - Fax:833-962-3812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-19
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center