| Mt. Olive Baptist Church | |
|
1313 Country Club Road Hattiesburg MS 39401 | |
| (601) 582-3475 | |
| (601) 582-0149 |
| Full Name | Mt. Olive Baptist Church |
|---|---|
| Speciality | Counselor |
| Location | 1313 Country Club Road, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Arthur Lee Siggers (PASTOR) |
| Authorized Official Contact | 6015823475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. Olive Baptist Church 1313 Country Club Road Hattiesburg MS 39401 Ph: (601) 582-3475 | Mt. Olive Baptist Church 1313 Country Club Road Hattiesburg MS 39401 Ph: (601) 582-3475 |
| NPI Number | 1992004212 |
|---|---|
| Provider Enumeration Date | 03/25/2011 |
| Last Update Date | 03/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992004212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 205814 (Mississippi) | Primary |
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