| Pine Belt Primary Care | |
|
934 West Dr Laurel MS 39440-4702 | |
| (601) 426-7520 | |
| Not Available |
| Full Name | Pine Belt Primary Care |
|---|---|
| Speciality | General Practice |
| Location | 934 West Dr, Laurel, Mississippi |
| Authorized Official Name and Position | Jerry Mayo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6015444641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Belt Primary Care Po Box 18679 Hattiesburg MS 39404-8679 Ph: (601) 705-1902 | Pine Belt Primary Care 934 West Dr Laurel MS 39440-4702 Ph: (601) 426-7520 |
| NPI Number | 1467767988 |
|---|---|
| Provider Enumeration Date | 08/09/2010 |
| Last Update Date | 08/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467767988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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