Organization · Type 2 NPI

Physician Group

Multi-Specialty Clinic/Center · Meridian, MS

NPI number 1558679902 Active

Practice location

4555 Highland Park Dr
Meridian, MS 39307-5429

Call (601) 581-7969 Map

Fax (601) 581-7676

Mailing address

PO Box 4128
Meridian, MS 39304-4128

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X36-136 (MS)

Multi-Specialty Clinic/Center: Definition to come...

10 other providers at this address

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About NPI 1558679902

Physician Group's National Provider Identifier is 1558679902, issued on Sep 20, 2010. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Meridian, MS. The record was last updated on May 12, 2020.