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Neshoba County General Hospital

Organization Active NPI Family Medicine Physician · Philadelphia, MS

NPI 1750686341 · NPPES record last updated Jan 13, 2011

Key facts

NPI
1750686341
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
NESHOBA COUNTY GENERAL HOSPITAL
Practice address
1001 Holland Ave
Suite 4
Philadelphia, MS 39350-2161
Phone
(601) 656-0010
NPI assigned
Jan 13, 2011
Organization subpart
No

Authorized official

Name
Mr. Lawrence Graeber
Title
Ceo
Phone
(601) 663-1360

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Ms Neurodiagnostic Lab (16 organizations share this tax ID)

Locations

1001 Holland Ave
Ste 4
Philadelphia, MS 39350
Phone (601) 656-0010

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1001 Holland Ave
Suite 4
Philadelphia, MS 39350-2161

Mailing address

1001 Holland Ave
PO Box 976
Philadelphia, MS 39350-2161
Phone (601) 656-0010

Other names

  • Todd Willis Medical Clinic Doing business as

Other providers in Philadelphia, MS

All providers in Philadelphia, MS · Family Medicine Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.