| Picayune Family Clinic | |
|
128 Highland Pkwy Suite 200 Picayune MS 39466-5577 | |
| (601) 358-9630 | |
| (601) 358-9640 |
| Full Name | Picayune Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Highland Pkwy, Picayune, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012646000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Picayune Family Clinic 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5488 | Picayune Family Clinic 128 Highland Pkwy Suite 200 Picayune MS 39466-5577 Ph: (601) 358-9630 |
| NPI Number | 1265593156 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265593156 | NPI | - | NPPES |
| 01537750 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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