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Organization

MERIDIAN PEDIATRICS, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SAMUEL SCOTT MASSINGILL MD (PARTNER)
(601) 553-3645
Entity
Organization

Contact information

Practice address
1400 20TH AVE, SUITE A, MERIDIAN, MS 39301-4111
(601) 553-3645
(601) 553-3127
Mailing address
1400 20TH AVE, SUITE A, MERIDIAN, MS 39301-4111
(601) 553-3645
(601) 553-3127

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/09/2008
Last updated
06/09/2008
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