Organization
NESHOBA PHYSICIAN BILLING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HESTER MCNAIR (CFO)
(601) 663-1233
Entity
Organization
Contact information
Practice address
1001 HOLLAND AVE, PHILADELPHIA, MS 39350-2161
(601) 656-9460
(601) 656-2010
Mailing address
PO BOX 976, PHILADELPHIA, MS 39350-0976
(601) 656-9460
(601) 656-2010
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016096
—
MS
01
—
CH9590
MEDICARE RAILROAD
MS
Enumeration date
05/09/2007
Last updated
04/04/2025
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