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146 Highland Pkwy Picayune MS 39466-5575 | |
(601) 358-9765 | |
(601) 358-9929 |
Full Name | |
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Speciality | Family Medicine |
Location | 146 Highland Pkwy, Picayune, Mississippi |
Authorized Official Name and Position | Ben Hester (CFO) |
Authorized Official Contact | 6012884225 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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125 S 28th Ave Ste 326 Hattiesburg MS 39401-7152 Ph: () - | 146 Highland Pkwy Picayune MS 39466-5575 Ph: (601) 358-9765 |
NPI Number | 1922574425 |
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Provider Enumeration Date | 10/23/2018 |
Last Update Date | 04/24/2020 |
Medicare PECOS PAC ID | 1052397767 |
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Medicare Enrollment ID | O20190226002055 |
Identifier | Type | State | Issuer |
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1922574425 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
James M Riser Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-5798 Fax: 601-798-5914 | |
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