# PEDIATRICS PLUS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatrics Plus Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063266823
- **Authorized official:** STEPHANIE OBERHOUSEN BOYDSTON NP (OWNER)
- **Authorized official phone:** (601) 201-4419

## Contact information

- **Practice address:** 7215 S SIWELL RD STE B, BYRAM, MS 39272-9776
- **Practice address phone:** (601) 201-4419
- **Mailing address:** 1501 RAYMOND BOLTON RD, RAYMOND, MS 39154-9591
- **Mailing address phone:** (601) 201-4419

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/16/2024
- **Last updated:** 05/17/2024