National Provider Identifier Database

PATRIOT HEALTHCARE OF MISSISSIPPI LLC
Geriatric Medicine

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.


Contact Information

PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
4800 LAKELAND DRIVE
FLOWOOD, MS39232
Phone: 228-563-4787
Fax:
Website:
Specialty Taxonomy Code
* Geriatric Medicine 207QG0300X

* Indicates primary specialty

NPI Profile & details for PATRIOT HEALTHCARE OF MISSISSIPPI, LLC

NPI Number 1104395565
Legal business name
LBN
PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
Authorized official DAVID CULVER - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 11/15/2018
Last updated 11/15/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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