Organization
PANOLA PHYSICIAN GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT Q WHITWELL JR. (CEO)
(662) 701-9346
Entity
Organization
Contact information
Practice address
223 E MAIN ST, SENATOBIA, MS 38668-2123
(662) 562-4166
(662) 562-4355
Mailing address
303 MEDICAL CENTER DR, BATESVILLE, MS 38606-8608
(662) 563-5611
(662) 563-0155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/22/2019
Last updated
11/27/2023
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