Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Other names
Marion County Surgical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDREW WOODARD (CFO)
(601) 288-2892
Entity
Organization
Contact information
Practice address
910 SUMRALL RD, COLUMBIA, MS 39429-2652
(601) 736-0177
(601) 736-0179
Mailing address
910 SUMRALL RD, COLUMBIA, MS 39429-2652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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