Lincoln Center Clinic | |
1 Lincoln Pkwy Suite 302 Hattiesburg MS 39402-3262 | |
(601) 296-7848 | |
(601) 296-7828 |
Full Name | Lincoln Center Clinic |
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Speciality | Family Medicine |
Location | 1 Lincoln Pkwy, Hattiesburg, Mississippi |
Authorized Official Name and Position | R. Andy Woodard (CFO) |
Authorized Official Contact | 6012882892 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lincoln Center Clinic 1 Lincoln Pkwy Suite 302 Hattiesburg MS 39402-3262 Ph: (601) 296-7848 | Lincoln Center Clinic 1 Lincoln Pkwy Suite 302 Hattiesburg MS 39402-3262 Ph: (601) 296-7848 |
NPI Number | 1023350006 |
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Provider Enumeration Date | 03/18/2013 |
Last Update Date | 03/18/2013 |
Identifier | Type | State | Issuer |
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1023350006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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