| Ch Mssp Services Ms Llc | |
|
232 Market St Flowood MS 39232-3339 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Ch Mssp Services Ms Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 232 Market St, Flowood, Mississippi |
| Authorized Official Name and Position | Nicole Howard (SVP OF ADMINISTRATIVE SERVICES) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ch Mssp Services Ms Llc 5750 Johnston St Ste 205 Lafayette LA 70503-5334 Ph: (337) 991-9276 | Ch Mssp Services Ms Llc 232 Market St Flowood MS 39232-3339 Ph: (337) 991-9276 |
| NPI Number | 1194565051 |
|---|---|
| Provider Enumeration Date | 05/29/2024 |
| Last Update Date | 05/29/2024 |
| Medicare PECOS PAC ID | 7911441126 |
|---|---|
| Medicare Enrollment ID | O20240628001791 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194565051 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dawn C Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871844498 PECOS PAC ID: 4082853627 Enrollment ID: I20130612000143 |
| Provider Name | Leslie Sheffield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538532528 PECOS PAC ID: 5799089157 Enrollment ID: I20190418000535 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20231221002977 |
| Provider Name | Leslie Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548786213 PECOS PAC ID: 9739436353 Enrollment ID: I20231222000314 |
| Provider Name | Victoria Orr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396478830 PECOS PAC ID: 2466834023 Enrollment ID: I20240828003723 |
| Provider Name | Aaliyah Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982365268 PECOS PAC ID: 0042695843 Enrollment ID: I20240918001067 |
| Provider Name | Mia Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215575956 PECOS PAC ID: 7618398918 Enrollment ID: I20241002003990 |
| Provider Name | Leah Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063024198 PECOS PAC ID: 0244641132 Enrollment ID: I20241203002275 |
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