Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Other names
Highland Internal Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID PYLATE (PATIENT ACCOUNTS MANAGER)
(601) 288-1864
Entity
Organization
Contact information
Practice address
200 COUNTRY CLUB RD, CARRIERE, MS 39426
(601) 799-4777
(601) 799-0052
Mailing address
PO BOX 15722, HATTIESBURG, MS 39404-5722
(601) 288-1823
(601) 288-1877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09520729
—
MS
01
—
110001530
MEDICARE INDIVIDUAL
MS
05
—
1658723
—
LA
01
—
P007466664
MEDICARE RAILROAD
—
Enumeration date
03/08/2007
Last updated
12/07/2017
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