# NESHOBA COUNTY GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003946138
- **Authorized official:** MR. SCOTT MCNAIR (CFO)
- **Authorized official phone:** (601) 663-1233

## Contact information

- **Practice address:** 1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
- **Practice address phone:** (601) 663-1200
- **Practice address fax:** (601) 663-1379
- **Mailing address:** PO BOX 648, PHILADELPHIA, MS 39350-0648
- **Mailing address phone:** (601) 663-1200
- **Mailing address fax:** (601) 663-1379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 11227 | MS | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | NULL | — |
| 207QS1201X | Sleep Medicine (Family Medicine) Physician | — | — | — |
| 2084N0600X | Clinical Neurophysiology Physician | — | NULL | — |
| 2084N0600X | Clinical Neurophysiology Physician | — | — | — |
| 246ZE0500X | EEG Specialist/Technologist | — | NULL | — |
| 246ZE0500X | EEG Specialist/Technologist | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 11/04/2022