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Contact Information

730 NEW ALBANY PROFESSIONAL PLLC
731 COULTER DR
NEW ALBANY, MS38652
 Phone: 662-534-4397
 Fax: 662-534-6599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 730 NEW ALBANY PROFESSIONAL PLLC

NPI # 1710691241
LBN Legal business name 730 NEW ALBANY PROFESSIONAL PLLC
Authorized official PETER GRUMBOS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/10/2023
Last updated 01/10/2023 - About 3 years 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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