| Carla Holder, DO | |
|
5001 Hardy St, Hattiesburg, MS 39402-1308 | |
| (601) 268-8000 | |
| Not Available |
| Full Name | Carla Holder |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine - Emergency Medical Services |
| Location | 5001 Hardy St, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881688703 | NPI | - | NPPES |
| 00126546 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 17722 (Mississippi) | Primary |
| Entity Name | Hattiesburg Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164805156 PECOS PAC ID: 4981913308 Enrollment ID: O20151024000062 |
| Entity Name | App Of Mississippi Ed Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Holder, DO Po Box 22505, Jackson, MS 39225-2505 Ph: (866) 321-8433 | Carla Holder, DO 5001 Hardy St, Hattiesburg, MS 39402-1308 Ph: (601) 268-8000 |
Bradley Williams, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-296-3963 | |
Miju Yu Kurtzweil, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Merit Health Wesley, Hattiesburg, MS 39402 Phone: 601-296-3963 | |
Annette Longo, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-268-8000 | |
Dr. Carl Edward Johns Iii, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-296-3963 | |
Robert C Owen, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 | |
Dr. Ebenezer Sampong, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5001 Hardy St, Hattiesburg, MS 39402 Phone: 601-296-3963 | |
Trent Woods, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 6051 Highway 49, Hattiesburg, MS 39401 Phone: 601-288-7000 |