| Wiggins Clinic | |
|
805 Hall St Wiggins MS 39577-2110 | |
| (601) 928-4412 | |
| (601) 928-4792 |
| Full Name | Wiggins Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 805 Hall St, Wiggins, 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 |
|---|---|
| Wiggins Clinic 415 S 28th Ave Hattiesburg MS 39401-7246 Ph: (601) 579-5463 | Wiggins Clinic 805 Hall St Wiggins MS 39577-2110 Ph: (601) 928-4412 |
| NPI Number | 1447350749 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 02/18/2021 |
| Medicare PECOS PAC ID | 5193706794 |
|---|---|
| Medicare Enrollment ID | O20100930085808 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447350749 | NPI | - | NPPES |
| 09013636 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Memorial Stone County Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1440 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6610 | |
Wiggins Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 975 Hall St, Wiggins, MS 39577 Phone: 601-528-9119 Fax: 601-528-9193 | |
Stone County Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6658 | |
Poplarville Family Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1434 Central Ave E, Wiggins, MS 39577 Phone: 601-928-6600 Fax: 601-928-6658 |