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7001 Highway 614 Moss Point MS 39562 | |
(228) 588-2938 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 7001 Highway 614, Moss Point, Mississippi |
Authorized Official Name and Position | Lee Bond (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2288092074 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2101 Highway 90 Gautier MS 39553-5340 Ph: (228) 497-7576 | 7001 Highway 614 Moss Point MS 39562 Ph: (228) 588-2938 |
NPI Number | 1629287719 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 04/19/2021 |
Medicare PECOS PAC ID | 3870405194 |
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Medicare Enrollment ID | O20071012000388 |
Identifier | Type | State | Issuer |
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1629287719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Gale Primary Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3702 Jefferson Ave, Moss Point, MS 39563 Phone: 228-641-1674 Fax: 228-205-4593 | |
Allgood Family Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9930 Saracennia Rd, Moss Point, MS 39562 Phone: 228-475-7877 Fax: 228-475-8085 | |
Moss Point Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5430 Griffin St, Moss Point, MS 39563 Phone: 228-355-0719 Fax: 228-475-4039 | |