| Med Options Llc. | |
|
5266 Old Highway 11 Ste 70 Pmb 104 Hattiesburg MS 39402-7817 | |
| (601) 466-0825 | |
| Not Available |
| Full Name | Med Options Llc. |
|---|---|
| Speciality | Nurse Practitioner - Family |
| Location | 5266 Old Highway 11, Hattiesburg, Mississippi |
| Authorized Official Name and Position | Shermanda Brumfield (PRESIDENT) |
| Authorized Official Contact | 6014660825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Med Options Llc. 5266 Old Highway 11 Ste 70 Pmb 104 Hattiesburg MS 39402-7817 Ph: (601) 466-0825 | Med Options Llc. 5266 Old Highway 11 Ste 70 Pmb 104 Hattiesburg MS 39402-7817 Ph: (601) 466-0825 |
| NPI Number | 1992166094 |
|---|---|
| Provider Enumeration Date | 03/16/2016 |
| Last Update Date | 03/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992166094 | NPI | - | NPPES |
| 02902324 | Medicaid | MS | |
| 1861801888 | Other | MS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19209 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | R865509 (Mississippi) | Primary |
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