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Contact Information

WALTHALL GENERAL HOSPITAL
100 HOSPITAL DRIVE
TYLERTOWN, MS39667
 Phone: 601-876-2122
 Fax: 601-876-0432
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALTHALL GENERAL HOSPITAL · (Female)

NPI # 1245512417
Status Active
Credentials
Entity Individual
Enumeration date 09/14/2011
Last updated 09/12/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 11-257
  • MS Medicaid 09013588
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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