| My Brother's Keeper, Inc | |
|
1711 Hardy St Hattiesburg MS 39401-4910 | |
| (769) 216-2455 | |
| Not Available |
| Full Name | My Brother's Keeper, Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 1711 Hardy St, Hattiesburg, Mississippi |
| Authorized Official Name and Position | June A Gipson (PRESIDENT/CEO) |
| Authorized Official Contact | 7692162455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Brother's Keeper, Inc 1711 Hardy St Hattiesburg MS 39401-4910 Ph: () - | My Brother's Keeper, Inc 1711 Hardy St Hattiesburg MS 39401-4910 Ph: (769) 216-2455 |
| NPI Number | 1215603139 |
|---|---|
| Provider Enumeration Date | 08/19/2021 |
| Last Update Date | 08/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215603139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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