Paki Inc
Organization Active NPI Primary Care Clinic/Center · Petal, MS
NPI 1033475967 · NPPES record last updated Apr 4, 2012
Key facts
- NPI
- 1033475967
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- PAKI INC
- Practice address
- 126 W Central Ave
Petal, MS 39465-2314 - Phone
- (601) 296-2552
- Fax
- (601) 296-2397
- NPI assigned
- Apr 4, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Barry Monday
- Title
- Admin
- Phone
- (601) 296-2552
Practitioners 3
-
Lacey Blakeney, NP-C
-
Karen Renee Pitts, FNP
National Provider Directory
Locations
3275 Highway 49
Ste E
Collins, MS 39428
Phone (601) 765-6292
126 W Central Ave
Petal, MS 39465
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
126 W Central Ave
Petal, MS 39465-2314
Mailing address
PO Box 17708
Hattiesburg, MS 39404-7708
Phone (601) 296-2552
Other names
- Central Family Clinic
Other providers in Petal, MS
- Ramon Monroe Napier
- John Clayton Nelson
- Hang My-Thi Nguyen
- Julie Pace
- Pacific Physician Services LLC
- Kimberly Nicole Patrick
- Joseph J Patterson
- Petal Chiropractic Clinic, Inc.
- Petal Dental Properties
- Petal Drug Company, Inc.
All providers in Petal, MS · Primary Care Clinic/Center in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.