| Immediate Care - Laurel | |
|
2313 Highway 15 N Laurel MS 39440-1805 | |
| (601) 649-2775 | |
| (601) 649-2686 |
| Full Name | Immediate Care - Laurel |
|---|---|
| Speciality | Family Medicine |
| Location | 2313 Highway 15 N, Laurel, Mississippi |
| Authorized Official Name and Position | Bryan N Batson (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6012646000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Immediate Care - Laurel 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Immediate Care - Laurel 2313 Highway 15 N Laurel MS 39440-1805 Ph: (601) 649-2775 |
| NPI Number | 1316047657 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 5193706794 |
|---|---|
| Medicare Enrollment ID | O20100930017339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316047657 | NPI | - | NPPES |
| 08154801 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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