Organization
COMMUNITY MEDICAL PHYSICIANS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HUBER MD (MEDICAL DIRECTOR)
(601) 947-1330
Entity
Organization
Contact information
Practice address
92 RATLIFF ST, LUCEDALE, MS 39452-6537
(601) 947-1330
(601) 947-1331
Mailing address
PO BOX 889, LUCEDALE, MS 39452-0889
(601) 947-1330
(601) 947-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/23/2015
Last updated
12/28/2015
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