Organization
PICAYUNE INTERNAL MEDICINE
Active
Organization
PICAYUNE INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WILSON (OFFICE MANAGER)
(601) 699-9846
Entity
Organization
Contact information
Practice address
200 GOLF COURSE DR, CARRIERE, MS 39426-9037
(601) 699-9846
Mailing address
200 GOLF COURSE DR, CARRIERE, MS 39426-9037
(601) 699-9846
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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