Organization
PATHWAY HEALTHCARE- MISSISSIPPI LLC
Active
Other names
Pathway Healthcare Laurel MS
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA MOORE (DATA AND INTEGRATION)
(205) 208-9312
Entity
Organization
Contact information
Practice address
5 DUNNBARR STE 1, LAUREL, MS 39440-1041
(662) 434-4210
(205) 848-2227
Mailing address
48 MEDICAL PARK DR E STE 453, BIRMINGHAM, AL 35235-3472
(205) 208-9312
(205) 848-2227
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
01/18/2018
Last updated
06/23/2026
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