Christopher Ryan Rawls, MD | |
101 Weems St, Purvis, MS 39475-4062 | |
(601) 794-2224 | |
(601) 579-5240 |
Full Name | Christopher Ryan Rawls |
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Gender | Male |
Speciality | Family Medicine |
Location | 101 Weems St, Purvis, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114488095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 27843 (Mississippi) | Primary |
Entity Name | Hattiesburg Clinic Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
Mailing Address | Practice Location Address |
---|---|
Christopher Ryan Rawls, MD 415 S 28th Ave, Hattiesburg, MS 39401-7283 Ph: (601) 794-2224 | Christopher Ryan Rawls, MD 101 Weems St, Purvis, MS 39475-4062 Ph: (601) 794-2224 |
Michael R O'neal, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Mrs. Angel Michelle Johnson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5640 | |
Stephen L Harless, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-794-6392 | |
Robert Watson, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5808 Us Highway 11, Purvis, MS 39475 Phone: 601-348-5460 Fax: 601-348-1432 | |
John T Chmelicek, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 | |
Mr. Bruce Grissom Jr., Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 Shelby Speights Dr, Purvis, MS 39475 Phone: 601-794-8065 Fax: 601-794-5650 |