| Crossgates Hma Medical Group, Llc | |
|
6455 Highway 18 Puckett MS 39151 | |
| (601) 824-9490 | |
| (601) 824-9533 |
| Full Name | Crossgates Hma Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6455 Highway 18, Puckett, Mississippi |
| Authorized Official Name and Position | Michael L Gingras (VICE PRESIDENT) |
| Authorized Official Contact | 2395983131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossgates Hma Medical Group, Llc 5811 Pelican Bay Blvd Suite 500 Naples FL 34108-2733 Ph: (239) 598-3131 | Crossgates Hma Medical Group, Llc 6455 Highway 18 Puckett MS 39151 Ph: (601) 824-9490 |
| NPI Number | 1770682882 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770682882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |