Organization
PEDIATRIC CARE CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI HOFFMAN (OFFICE MANAGER)
(228) 762-9595
Entity
Organization
Contact information
Practice address
4105 HOSPITAL ST, SUITE 104, PASCAGOULA, MS 39581-5312
(228) 762-9595
(228) 762-9494
Mailing address
PO BOX 726, PASCAGOULA, MS 39568-0726
(228) 762-9595
(228) 762-9494
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009016223
—
MS
05
—
09016223
—
MS
Enumeration date
09/13/2006
Last updated
11/20/2023
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