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Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Other names
Jefferson Davis General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDREW WOODARD (CFO)
(601) 288-2892
Entity
Organization
Contact information
Practice address
1102 ROSE ST, PRENTISS, MS 39474-5200
(601) 792-4276
(601) 792-2947
Mailing address
1102 ROSE ST, PRENTISS, MS 39474-5200
(601) 792-4276
(601) 792-2947
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
NULL
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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