Coast Family Physicians, P.a. | |
186 E Old Pass Rd Long Beach MS 39560-4621 | |
(228) 863-6883 | |
(228) 864-7949 |
Full Name | Coast Family Physicians, P.a. |
---|---|
Speciality | Family Medicine |
Location | 186 E Old Pass Rd, Long Beach, Mississippi |
Authorized Official Name and Position | Ben Judson Kitchings (OWNER/PRESIDENT) |
Authorized Official Contact | 2288636883 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coast Family Physicians, P.a. Po Box 899 Long Beach MS 39560-0899 Ph: (228) 863-6883 | Coast Family Physicians, P.a. 186 E Old Pass Rd Long Beach MS 39560-4621 Ph: (228) 863-6883 |
NPI Number | 1720301732 |
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Provider Enumeration Date | 03/04/2010 |
Last Update Date | 05/23/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720301732 | NPI | - | NPPES |
0123644 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 03606 (Mississippi) | Primary |
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