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Organization

LINCOLN CENTER CLINIC

Active
Parent organization
FORREST COUNTY GENERAL HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
FORREST COUNTY GENERAL HOSPITAL
Authorized official
R. ANDY WOODARD (CFO)
(601) 288-2892
Entity
Organization

Contact information

Practice address
1 LINCOLN PKWY, SUITE 302, HATTIESBURG, MS 39402-3262
(601) 296-7848
(601) 296-7828
Mailing address
1 LINCOLN PKWY, SUITE 302, HATTIESBURG, MS 39402-3262
(601) 296-7848
(601) 296-7828

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/18/2013
Last updated
03/18/2013
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