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Contact Information

PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
4800 LAKELAND DRIVE
FLOWOOD, MS39232
 Phone: 228-563-4787
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PATRIOT HEALTHCARE OF MISSISSIPPI, LLC

NPI # 1104395565
LBN Legal business name PATRIOT HEALTHCARE OF MISSISSIPPI, LLC
Authorized official DAVID CULVER - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/15/2018
Last updated 11/15/2018 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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