# COMMUNITY MEDICAL PHYSICIANS, PC

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

## Provider details

- **NPI number:** 1205208790
- **Authorized official:** MIKE HUBER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (601) 947-1330

## Contact information

- **Practice address:** 92 RATLIFF ST, LUCEDALE, MS 39452-6537
- **Practice address phone:** (601) 947-1330
- **Practice address fax:** (601) 947-1331
- **Mailing address:** PO BOX 889, LUCEDALE, MS 39452-0889
- **Mailing address phone:** (601) 947-1330
- **Mailing address fax:** (601) 947-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 12/28/2015