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130 Highland Pkwy Picayune MS 39466-5574 | |
(601) 358-9481 | |
(601) 358-9436 |
Full Name | |
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Speciality | Internal Medicine |
Location | 130 Highland Pkwy, Picayune, Mississippi |
Authorized Official Name and Position | Ben Hester (CFO/VP) |
Authorized Official Contact | 6012884225 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 15722 Hattiesburg MS 39404-5722 Ph: (601) 288-4338 | 130 Highland Pkwy Picayune MS 39466-5574 Ph: (601) 358-9481 |
NPI Number | 1306976238 |
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Provider Enumeration Date | 03/07/2007 |
Last Update Date | 01/31/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306976238 | NPI | - | NPPES |
009014783 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
282N00000X | General Acute Care Hospital | 11086 (Mississippi) | Secondary |
James M Riser Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2274 Highway 43 S, Picayune, MS 39466 Phone: 601-798-5798 Fax: 601-798-5914 | |
Fgh Physician Billing Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 Goodyear Blvd, Picayune, MS 39466 Phone: 800-245-9006 | |
Enhanced Care Labs & Screening Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Highway 11 N Ste E, Picayune, MS 39466 Phone: 769-216-1415 |