Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Other names
Walnut Grove Medical Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL L SAVELL (PROVIDER ENROLLMENT)
(601) 389-1563
Entity
Organization
Contact information
Practice address
110 PARK ST, WALNUT GROVE, MS 39189-6526
(601) 253-0173
(601) 253-0176
Mailing address
110 PARK ST, WALNUT GROVE, MS 39189-6526
(601) 253-0173
(601) 253-0176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12146
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033196977
DR'S NPI
MS
Enumeration date
05/27/2010
Last updated
01/07/2011
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