| Hazlehurst Clinic | |
|
213 Caldwell Dr Hazlehurst MS 39083 | |
| (601) 894-2514 | |
| (601) 894-2514 |
| Full Name | Hazlehurst Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 213 Caldwell Dr, Hazlehurst, Mississippi |
| Authorized Official Name and Position | Kortney M. Gaddy (CFO) |
| Authorized Official Contact | 6015747200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hazlehurst Clinic 27190 Hwy 28 Hazlehurst MS 39083 Ph: (601) 574-7200 | Hazlehurst Clinic 213 Caldwell Dr Hazlehurst MS 39083 Ph: (601) 894-2514 |
| NPI Number | 1356448591 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 09/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356448591 | NPI | - | NPPES |
| 00113908 | Medicaid | MS | |
| 00116996 | Medicaid | MS | |
| 00015329 | Medicaid | MS | |
| 09013707 | Medicaid | MS | |
| 00119484 | Medicaid | MS | |
| 00012939 | Medicaid | MS | |
| 00011981 | Medicaid | MS | |
| 00122024 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Mississippi) | Primary |
Mahesh Mehta Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27190 Highway 28, Hazlehurst, MS 39083 Phone: 601-944-1717 Fax: 601-944-9780 | |
Copiah Comprehensive Health Complex Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 550 Caldwell Dr, Hazlehurst, MS 39083 Phone: 601-894-1448 Fax: 601-894-2903 | |
Fast Pace Mississippi, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 533 Lake St, Hazlehurst, MS 39083 Phone: 601-552-5253 |