| Health Services Of South Mississippi Llc | |
|
2274 Highway 43 S Picayune MS 39466-8141 | |
| (601) 798-3989 | |
| (601) 798-3964 |
| Full Name | Health Services Of South Mississippi Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2274 Highway 43 S, Picayune, Mississippi |
| Authorized Official Name and Position | Sharon Riser (OWNER) |
| Authorized Official Contact | 6017983989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Health Services Of South Mississippi Llc 2274 Highway 43 S Picayune MS 39466-8141 Ph: (601) 798-3989 | Health Services Of South Mississippi Llc 2274 Highway 43 S Picayune MS 39466-8141 Ph: (601) 798-3989 |
| NPI Number | 1740314756 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 02/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740314756 | NPI | - | NPPES |
| 09014343 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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