| Immediate Care Cloverleaf | |
|
5909 U S Highway 49 Hattiesburg MS 39402-2860 | |
| (601) 296-2800 | |
| (601) 296-2802 |
| Full Name | Immediate Care Cloverleaf |
|---|---|
| Speciality | Family Medicine |
| Location | 5909 U S Highway 49, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012685601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care Cloverleaf 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Immediate Care Cloverleaf 5909 U S Highway 49 Hattiesburg MS 39402-2860 Ph: (601) 296-2800 |
| NPI Number | 1205924263 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205924263 | NPI | - | NPPES |
| 06574835 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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