# NESHOBA COUNTY GENERAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Walnut Grove Medical Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255650321
- **Authorized official:** MRS. CHERYL L SAVELL (PROVIDER ENROLLMENT)
- **Authorized official phone:** (601) 389-1563

## Contact information

- **Practice address:** 110 PARK ST, WALNUT GROVE, MS 39189-6526
- **Practice address phone:** (601) 253-0173
- **Practice address fax:** (601) 253-0176
- **Mailing address:** 110 PARK ST, WALNUT GROVE, MS 39189-6526
- **Mailing address phone:** (601) 253-0173
- **Mailing address fax:** (601) 253-0176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12146 | MS | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 01/07/2011