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Contact Information

NEIGHBORHOOD HEALTHCARE PROVIDERS
2503 GLENDALE AVE
HATTIESBURG, MS39401-1073
 Phone: 601-582-5805
 Fax: 601-582-5806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Nuclear Cardiology

207UN0901X 36 Physician/Nuclear Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for NEIGHBORHOOD HEALTHCARE PROVIDERS · (Female)

NPI # 1700830494
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2006
Last updated 08/14/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS License # 14600
  • MS License # 17488
  • MS Medicaid 00125127
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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