Immediate Care - Carriere | |
6941 Highway 11 N Suite A Carriere MS 39426-7793 | |
(601) 749-3776 | |
Not Available |
Full Name | Immediate Care - Carriere |
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Speciality | Family Medicine |
Location | 6941 Highway 11 N, Carriere, Mississippi |
Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
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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Immediate Care - Carriere 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Immediate Care - Carriere 6941 Highway 11 N Suite A Carriere MS 39426-7793 Ph: (601) 749-3776 |
NPI Number | 1356781082 |
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Provider Enumeration Date | 06/26/2013 |
Last Update Date | 02/18/2021 |
Medicare PECOS PAC ID | 5193706794 |
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Medicare Enrollment ID | O20150320000991 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356781082 | NPI | - | NPPES |
03833301 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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