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201a Bay Ave Richton MS 39476-9671 | |
(601) 583-1559 | |
(601) 583-1573 |
Full Name | |
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Speciality | Family Medicine |
Location | 201a Bay Ave, Richton, Mississippi |
Authorized Official Name and Position | Bryan N Batson (CEO) |
Authorized Official Contact | 6012646000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | 201a Bay Ave Richton MS 39476-9671 Ph: (601) 583-1559 |
NPI Number | 1386213957 |
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Provider Enumeration Date | 06/18/2021 |
Last Update Date | 11/14/2022 |
Medicare PECOS PAC ID | 5193706794 |
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Medicare Enrollment ID | O20220914000445 |
Identifier | Type | State | Issuer |
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1386213957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Family Care Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Bay Avenue, Richton, MS 39476 Phone: 601-788-6321 Fax: 601-788-6362 | |
Pace Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 South Front Street, Richton, MS 39476 Phone: 601-788-6381 Fax: 601-788-9716 |