Hancock Medical Internal Med - Crowder | |
202b Drinkwater Rd Bay St Louis MS 39520-1638 | |
(228) 463-9457 | |
(228) 463-0138 |
Full Name | Hancock Medical Internal Med - Crowder |
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Speciality | Clinic/center - Multi-specialty |
Location | 202b Drinkwater Rd, Bay St Louis, Mississippi |
Authorized Official Name and Position | Guy Ken Smith (DIRECTOR OPERATIONS) |
Authorized Official Contact | 9858987091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Hancock Medical Internal Med - Crowder Po Box 2790 Bay St Louis MS 39521-2790 Ph: (228) 467-8700 | Hancock Medical Internal Med - Crowder 202b Drinkwater Rd Bay St Louis MS 39520-1638 Ph: (228) 463-9457 |
NPI Number | 1588973432 |
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Provider Enumeration Date | 09/27/2010 |
Last Update Date | 04/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588973432 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11217 (Mississippi) | Secondary |
261QM1300X | Clinic/center - Multi-specialty | (Mississippi) | Primary |
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Rowe S Crowder Iii Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 202b Drinkwater Rd, Bay St Louis, MS 39520 Phone: 228-463-1649 Fax: 228-463-0138 | |
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