Organization
HEALTHCARE AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNETTA LASHAWN SMITH FNP (OWNER)
(601) 249-7251
Entity
Organization
Contact information
Practice address
221 STATE ST, MCCOMB, MS 39648-3938
(601) 324-3233
(833) 298-8466
Mailing address
PO BOX 7057, MCCOMB, MS 39649-7057
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2019
Last updated
05/03/2019
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