Petal Family Practice Clinic | |
50 Parkway Ln Petal MS 39465-3035 | |
(601) 544-7404 | |
(601) 584-6457 |
Full Name | Petal Family Practice Clinic |
---|---|
Speciality | Family Medicine |
Location | 50 Parkway Ln, Petal, 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 |
---|---|
Petal Family Practice Clinic 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 544-7404 | Petal Family Practice Clinic 50 Parkway Ln Petal MS 39465-3035 Ph: (601) 544-7404 |
NPI Number | 1831299130 |
---|---|
Provider Enumeration Date | 09/25/2006 |
Last Update Date | 02/23/2021 |
Medicare PECOS PAC ID | 5193706794 |
---|---|
Medicare Enrollment ID | O20100930080282 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831299130 | NPI | - | NPPES |
07605763 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Petal High School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1145 Highway 42, Petal, MS 39465 Phone: 601-545-8700 Fax: 601-450-2493 | |
Central Family Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 126 W Central Ave, Petal, MS 39465 Phone: 601-296-2552 Fax: 601-296-2397 | |
Petal Primary School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 60 Herrington Rd, Petal, MS 39465 Phone: 601-545-8700 Fax: 601-450-2493 | |
Morrison Medical Specialties Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Red Maple Trl, Petal, MS 39465 Phone: 601-606-2554 | |
Runnelstown School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9214 Highway 42, Petal, MS 39465 Phone: 601-545-8700 Fax: 601-582-5461 | |
Immediate Care- Petal Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Parkway Ln, Petal, MS 39465 Phone: 601-705-2897 Fax: 601-584-6457 | |
Runnelstown Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Pumping Station Rd, Petal, MS 39465 Phone: 601-583-1559 Fax: 601-583-1573 |