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Organization

SOUTH MISSISSIPPI HEALTH SERVICE, INC

Active
Other names
SOUTH MISSISSIPPI PSYCHIATRIC GROUP
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEBBIE F SANFORD (ADMINSTRATOR)
(601) 288-4800
Entity
Organization

Contact information

Practice address
1 LINCOLN PKWY STE 202, HATTIESBURG, MS 39402-3261
(601) 288-8050
Mailing address
1 LINCOLN PKWY STE 202, HATTIESBURG, MS 39402-3261
(601) 288-8050

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
Primary
2084P0804X
Child & Adolescent Psychiatry Physician
2084P0805X
Geriatric Psychiatry Physician
363LF0000X
Family Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09015143
MS
Enumeration date
09/15/2006
Last updated
01/15/2008
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