Organization
WALTHALL GENERAL HOSPITAL
Active
Parent organization
FORREST GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
FORREST GENERAL HOSPITAL
Authorized official
BEN HESTER (CFO)
(601) 288-4225
Entity
Organization
Contact information
Practice address
100 HOSPITAL DRIVE, TYLERTOWN, MS 39667
(601) 876-2122
(601) 876-0432
Mailing address
PO BOX 15722, HATTIESBURG, MS 39404
(601) 288-1889
(601) 288-1848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11-257
MS
207R00000X
Internal Medicine Physician
11-257
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013588
—
MS
Enumeration date
09/14/2011
Last updated
09/12/2017
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