| William Carey University | |
|
710 William Carey Pkwy Hattiesburg MS 39401-7842 | |
| (972) 367-4845 | |
| Not Available |
| Full Name | William Carey University |
|---|---|
| Speciality | General Practice |
| Location | 710 William Carey Pkwy, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Mouzon Bass (ADMINISTRATOR/AGENT) |
| Authorized Official Contact | 9723674845 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Carey University 5050 Spring Valley Rd Dallas TX 75244-3995 Ph: () - | William Carey University 710 William Carey Pkwy Hattiesburg MS 39401-7842 Ph: (972) 367-4845 |
| NPI Number | 1235601907 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 12/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235601907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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