South Mississippi Emergency Physicians,pa | |
4891 Highway 589 Sumrall MS 39482-4453 | |
(601) 758-4606 | |
(601) 758-4615 |
Full Name | South Mississippi Emergency Physicians,pa |
---|---|
Speciality | Family Medicine |
Location | 4891 Highway 589, Sumrall, Mississippi |
Authorized Official Name and Position | John Nelson (PRESIDENT) |
Authorized Official Contact | 6012882010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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South Mississippi Emergency Physicians,pa Po Box 635614 Cincinnati OH 45263-0001 Ph: () - | South Mississippi Emergency Physicians,pa 4891 Highway 589 Sumrall MS 39482-4453 Ph: (601) 758-4606 |
NPI Number | 1356531594 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 01/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356531594 | NPI | - | NPPES |
09016106 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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