John T Chmelicek, MD | |
102 Shelby Speights Dr, Purvis, MS 39475-4151 | |
(601) 794-8065 | |
(601) 794-5650 |
Full Name | John T Chmelicek |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 102 Shelby Speights Dr, Purvis, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669488490 | NPI | - | NPPES |
1677841 | Medicaid | LA | |
00110831 | Medicaid | MS | |
1558928 | Other | MS | AMERICAN ADMIN GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13049 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
John T Chmelicek, MD 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 794-8065 | John T Chmelicek, MD 102 Shelby Speights Dr, Purvis, MS 39475-4151 Ph: (601) 794-8065 |
Christopher Ryan Rawls, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 101 Weems St, Purvis, MS 39475 Phone: 601-794-2224 Fax: 601-579-5240 | |
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 | |
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 |