Organization
GRHS HOSPITAL PEDIATRICIANS
Active
Parent organization
COMMUNITY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
COMMUNITY MEDICAL CENTER
Authorized official
SUSAN MARIE RUTLEDGE (AO)
(601) 947-1330
Entity
Organization
Contact information
Practice address
859 WINTER ST, LUCEDALE, MS 39452-6603
(601) 947-8181
(601) 947-1331
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-8181
(601) 947-1331
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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