Organization · Type 2 NPI
Legacy Family Care Clinic
Primary Care Clinic/Center · Hattiesburg, MS
NPI number
1003620675
Active
Practice location
6798 U S Highway 98 Ste 30
Hattiesburg, MS 39402-7987
Fax (601) 336-6615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
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About NPI 1003620675
Legacy Family Care Clinic's National Provider Identifier is 1003620675, issued on Feb 4, 2025. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Hattiesburg, MS. The record was last updated on Jun 12, 2025.