Heartland Pediatrics Llc | |
13472 Vidalia Rd Pass Christian MS 39571-8300 | |
(228) 344-0039 | |
Not Available |
Full Name | Heartland Pediatrics Llc |
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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 |
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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 |
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Provider Enumeration Date | 02/11/2020 |
Last Update Date | 02/11/2020 |
Identifier | Type | State | Issuer |
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1437781010 | NPI | - | NPPES |
07334011 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |