| Waynesboro Family Medicine & Obstetrics | |
|
951 Matthew Dr Ste A Waynesboro MS 39367-2566 | |
| (601) 735-2401 | |
| (601) 735-5205 |
| Full Name | Waynesboro Family Medicine & Obstetrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 951 Matthew Dr Ste A, Waynesboro, Mississippi |
| Authorized Official Name and Position | Kathy Waddell (ADMINISTRATOR) |
| Authorized Official Contact | 6017355151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waynesboro Family Medicine & Obstetrics 951 Matthew Dr Ste A Waynesboro MS 39367-2566 Ph: (601) 735-2401 | Waynesboro Family Medicine & Obstetrics 951 Matthew Dr Ste A Waynesboro MS 39367-2566 Ph: (601) 735-2401 |
| NPI Number | 1285882662 |
|---|---|
| Provider Enumeration Date | 08/28/2008 |
| Last Update Date | 05/04/2016 |
| Medicare PECOS PAC ID | 2668457581 |
|---|---|
| Medicare Enrollment ID | O20080929000545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285882662 | NPI | - | NPPES |
| 05858037 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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