| Physician Group | |
|
4555 Highland Park Dr Meridian MS 39307-5429 | |
| (601) 581-7969 | |
| (601) 581-7676 |
| Full Name | Physician Group |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4555 Highland Park Dr, Meridian, Mississippi |
| Authorized Official Name and Position | Charles Carlisle (HOSPITAL DIRECTOR) |
| Authorized Official Contact | 6015817877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Group Po Box 4128 Meridian MS 39304-4128 Ph: (601) 581-7969 | Physician Group 4555 Highland Park Dr Meridian MS 39307-5429 Ph: (601) 581-7969 |
| NPI Number | 1558679902 |
|---|---|
| Provider Enumeration Date | 09/20/2010 |
| Last Update Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558679902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 36-136 (Mississippi) | Primary |
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East Ms State Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4555 Highland Park Dr, Meridian, MS 39307 Phone: 601-481-1135 Fax: 601-581-7676 | |
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Anderson Infectious Disease Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 20th St, Meridian, MS 39301 Phone: 601-553-6361 Fax: 601-484-5384 | |
Primary Medical Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Highway 39 N, Meridian, MS 39301 Phone: 601-646-0898 | |
Gmhc, Inc./mpsd G W Carver Community School Base Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 44th Ave, Meridian, MS 39307 Phone: 601-693-0118 Fax: 844-778-8922 |