| Ppim | |
|
3702 Jefferson Ave Pascagoula MS 39563-6218 | |
| (228) 769-1166 | |
| Not Available |
| Full Name | Ppim |
|---|---|
| Speciality | Internal Medicine |
| Location | 3702 Jefferson Ave, Pascagoula, Mississippi |
| Authorized Official Name and Position | Reginald Stewart (OWNER) |
| Authorized Official Contact | 2287691166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ppim 3702 Jefferson Ave Pascagoula MS 39563 Ph: () - | Ppim 3702 Jefferson Ave Pascagoula MS 39563-6218 Ph: (228) 769-1166 |
| NPI Number | 1023213550 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 07/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023213550 | NPI | - | NPPES |
| 0016041 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 11452 (Mississippi) | Primary |
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