Organization
FORREST COUNTY GENERAL HOSPITAL
Active
Other names
Jefferson Davis General Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ANDREW WOODARD (CFO)
(601) 288-2892
Entity
Organization
Contact information
Practice address
1102 ROSE ST, PRENTISS, MS 39474-5200
(601) 792-4276
(601) 792-2947
Mailing address
1102 ROSE ST, PRENTISS, MS 39474-5200
(601) 792-4276
(601) 792-2947
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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