| Highland Internal Medicine Clinic | |
|
200 Country Club Rd Carriere MS 39426 | |
| (601) 799-4777 | |
| (601) 799-0052 |
| Full Name | Highland Internal Medicine Clinic |
|---|---|
| Speciality | Internal Medicine |
| Location | 200 Country Club Rd, Carriere, Mississippi |
| Authorized Official Name and Position | David Pylate (PATIENT ACCOUNTS MANAGER) |
| Authorized Official Contact | 6012881864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Highland Internal Medicine Clinic Po Box 15722 Hattiesburg MS 39404-5722 Ph: (601) 288-1823 | Highland Internal Medicine Clinic 200 Country Club Rd Carriere MS 39426 Ph: (601) 799-4777 |
| NPI Number | 1619008174 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619008174 | NPI | - | NPPES |
| 110001530 | Other | MS | MEDICARE INDIVIDUAL |
| 1658723 | Medicaid | LA | |
| 09520729 | Medicaid | MS | |
| P007466664 | Other | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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