| H&b Mission | |
|
7048 Old Canton Rd Ste 2e Ridgeland MS 39157-1021 | |
| (601) 919-0972 | |
| Not Available |
| Full Name | H&b Mission |
|---|---|
| Speciality | General Practice |
| Location | 7048 Old Canton Rd Ste 2e, Ridgeland, Mississippi |
| Authorized Official Name and Position | Michael C Berry (CEO) |
| Authorized Official Contact | 6019279355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| H&b Mission 2551 Terrell Rd Bentonia MS 39040 Ph: (601) 927-9355 | H&b Mission 7048 Old Canton Rd Ste 2e Ridgeland MS 39157-1021 Ph: (601) 919-0972 |
| NPI Number | 1568238889 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 02/28/2024 |
| Certification Date | 02/28/2024 |
| Medicare PECOS PAC ID | 9234572447 |
|---|---|
| Medicare Enrollment ID | O20240205002614 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568238889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Rachel Sellers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205466984 PECOS PAC ID: 7113353038 Enrollment ID: I20200212000769 |
| Provider Name | Kimberly Watkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376284752 PECOS PAC ID: 8820471147 Enrollment ID: I20220819001253 |
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