Neshoba County General Hospital
Organization Active NPI Family Medicine Physician · Walnut Grove, MS
NPI 1255650321 · NPPES record last updated Jan 7, 2011
Key facts
- NPI
- 1255650321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12146 (MS)
- Legal business name
- NESHOBA COUNTY GENERAL HOSPITAL
- Practice address
- 110 Park St
Walnut Grove, MS 39189-6526 - Phone
- (601) 253-0173
- Fax
- (601) 253-0176
- NPI assigned
- May 27, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Cheryl L Savell
- Title
- Provider Enrollment
- Phone
- (601) 389-1563
Corporate family (same tax ID) 15
Practitioners 2
-
Patrick Eakes, MD
-
Charlie M Hardin Jr., CFNP/ACNP
National Provider Directory
- Tax ID family
- Ms Neurodiagnostic Lab
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 12146 | MS | Yes |
Addresses
Primary practice location
110 Park St
Walnut Grove, MS 39189-6526
Mailing address
110 Park St
Walnut Grove, MS 39189-6526
Phone (601) 253-0173
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033196977 | Other | MS | DR'S NPI |
Other names
- Walnut Grove Medical Associates
Other providers in Walnut Grove, MS
- David Jones
- Leake Memorial Medical Clinic Walnut Grove
- LHCG Xlix, LLC
- James W. Lock
- Marshall Devolopmental Therapy Services Inc
- William Douglas Perry
- Rodney L Moore
- Kymberly Lynn Stone
All providers in Walnut Grove, MS · Family Medicine Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2011. 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.