# ACCENTCARE MEDICAL GROUP OF MISSISSIPPI, PC

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

## Provider details

- **NPI number:** 1346084100
- **Authorized official:** CARRIE BILL (VP REIMBURSEMENT)
- **Authorized official phone:** (847) 692-1148

## Contact information

- **Practice address:** 3500 LAKELAND DR STE 515, FLOWOOD, MS 39232-3017
- **Practice address phone:** (801) 939-2978
- **Mailing address:** 6400 SHAFER CT STE 300A, ROSEMONT, IL 60018-4914

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | — |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/25/2024
- **Last updated:** 06/25/2024