Organization · Type 2 NPI
Picayune Family Practice Clinic, LLC
Primary Care Clinic/Center · Picayune, MS
NPI number
1972771806
Active
Practice location
422 Memorial Blvd
Picayune, MS 39466-5544
Fax (601) 798-2184
Mailing address
PO Box 6913
Gulfport, MS 39506-6913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
Other primary care clinic/center providers in Picayune
About NPI 1972771806
Picayune Family Practice Clinic, LLC's National Provider Identifier is 1972771806, issued on Feb 13, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Picayune, MS. The record was last updated on Feb 13, 2008.