| Heartland Pediatrics Llc | |
|
13472 Vidalia Rd Pass Christian MS 39571-8300 | |
| (228) 344-0039 | |
| Not Available |
| Full Name | Heartland Pediatrics Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 13472 Vidalia Rd, Pass Christian, Mississippi |
| Authorized Official Name and Position | Erin Favre Blanchette (CPNP) |
| Authorized Official Contact | 2283440039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartland Pediatrics Llc 13472 Vidalia Rd Pass Christian MS 39571-8300 Ph: () - | Heartland Pediatrics Llc 13472 Vidalia Rd Pass Christian MS 39571-8300 Ph: (228) 344-0039 |
| NPI Number | 1437781010 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 02/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437781010 | NPI | - | NPPES |
| 07334011 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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