Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Yazoo City Medical Clinic PA

Organization Family Medicine Physician · NPI 1174696330

Yazoo City Medical Clinic PA provides Family Medicine Physician services in Yazoo City, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

805 E Fifteenth St
Yazoo City, MS 39194-7607 Not confirmed with CMS for 18 years — call before visiting
Phone: (662) 746-6083
Fax: (662) 746-1954
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05855 (MS)

Record details

NPI number1174696330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Thompson — President · (662) 746-6083
NPI enumeratedNovember 16, 2006
Last updated in NPPESMarch 13, 2008
Mailing addressPo Box 1509, Yazoo City, MS 39194-1509

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