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149 Drinkwater Rd Bay St Louis MS 39520-1658 | |
(985) 661-3585 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 149 Drinkwater Rd, Bay St Louis, Mississippi |
Authorized Official Name and Position | Katherine K Cardwell (AVP) |
Authorized Official Contact | 5048427208 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 58451 New Orleans LA 70154-4851 Ph: (504) 842-4000 | 149 Drinkwater Rd Bay St Louis MS 39520-1658 Ph: (985) 661-3585 |
NPI Number | 1538583133 |
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Provider Enumeration Date | 02/18/2014 |
Last Update Date | 02/18/2014 |
Identifier | Type | State | Issuer |
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1538583133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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