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Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Other names
Highland Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PYLATE (PATIENT ACCOUNTS MANAGER)
(601) 288-1864
Entity
Organization
Contact information
Practice address
200 COUNTRY CLUB RD, CARRIERE, MS 39426
(601) 799-4777
(601) 799-0052
Mailing address
PO BOX 15722, HATTIESBURG, MS 39404-5722
(601) 288-1823
(601) 288-1877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09520729
—
MS
01
—
110001530
MEDICARE INDIVIDUAL
MS
05
—
1658723
—
LA
01
—
P007466664
MEDICARE RAILROAD
—
Enumeration date
03/08/2007
Last updated
12/07/2017
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