| |
300 Fairway Dr Hattiesburg MS 39401-7715 | |
(601) 329-1321 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 300 Fairway Dr, Hattiesburg, Mississippi |
Authorized Official Name and Position | Jacob Parker (REGISTERD NURSE) |
Authorized Official Contact | 6013291321 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 Fairway Dr Hattiesburg MS 39401-7715 Ph: (601) 329-1321 | 300 Fairway Dr Hattiesburg MS 39401-7715 Ph: (601) 329-1321 |
NPI Number | 1699366542 |
---|---|
Provider Enumeration Date | 02/02/2021 |
Last Update Date | 05/06/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699366542 | NPI | - | NPPES |
MS0800375 | Other | MS | LABORATORY |
MS0800375 | Other | MS | HEALTHCARE PROVIDER EMPLOYEE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
347D00000X | Train | (* (Not Available)) | Secondary |
Legacy Family Care Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6798 U S Highway 98 Ste 30, Hattiesburg, MS 39402 Phone: 601-596-9053 Fax: 601-336-6615 | |
Hattiesburg Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4209 Lincoln Rd, Hattiesburg, MS 39402 Phone: 601-705-2896 Fax: 601-579-5240 | |
Inland Family Practice Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3700 Hardy St Ste 10, Hattiesburg, MS 39402 Phone: 601-602-2014 Fax: 601-544-7013 | |
Lincoln Center Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Lincoln Pkwy, Suite 302, Hattiesburg, MS 39402 Phone: 601-296-7848 Fax: 601-296-7828 | |
Parkway Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2503 Glendale Ave, Hattiesburg, MS 39401 Phone: 601-582-5805 Fax: 601-582-5806 |