Organization
LEGACY FAMILY CARE CLINIC
Active
Organization
LEGACY FAMILY CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARAH CHATHAM FNP-C (OWNER)
(601) 596-9053
Entity
Organization
Contact information
Practice address
6798 U S HIGHWAY 98 STE 30, HATTIESBURG, MS 39402-7987
(601) 596-9053
(601) 336-6615
Mailing address
6798 U S HIGHWAY 98 STE 30, HATTIESBURG, MS 39402-7987
(601) 596-9053
(601) 336-6615
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2025
Last updated
06/12/2025
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