Pas Point Internal Medicine | |
3702 Jefferson Ave Pascagoula MS 39563-6218 | |
(228) 769-1166 | |
Not Available |
Full Name | Pas Point Internal Medicine |
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Speciality | Internal Medicine |
Location | 3702 Jefferson Ave, Pascagoula, Mississippi |
Authorized Official Name and Position | Reginald Stewart (OWNER) |
Authorized Official Contact | 2287691166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pas Point Internal Medicine 3702 Jefferson Ave Pascagoula MS 39563 Ph: () - | Pas Point Internal Medicine 3702 Jefferson Ave Pascagoula MS 39563-6218 Ph: (228) 769-1166 |
NPI Number | 1023213550 |
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Provider Enumeration Date | 06/15/2007 |
Last Update Date | 07/18/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023213550 | NPI | - | NPPES |
0016041 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 11452 (Mississippi) | Primary |
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