# HIGHLAND COMMUNITY CLINIC NETWORK

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

## Provider details

- **NPI number:** 1942449368
- **Authorized official:** BRYAN STEVENS (CFO)
- **Authorized official phone:** (601) 749-3119

## Contact information

- **Practice address:** 1702 HIGHWAY 11 N, PICAYUNE, MS 39466-2016
- **Practice address phone:** (601) 798-4711
- **Mailing address:** 801 GOODYEAR BLVD, PICAYUNE, MS 39466-3221
- **Mailing address phone:** (888) 447-2450

## Taxonomy

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

## Other

- **Enumeration date:** 02/09/2009
- **Last updated:** 02/09/2010