Organization
NESHOBA COUNTY GENERAL HOSPITAL
Active
Other names
NESHOBA PEDIATRIC MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RITA J THOMAS (OFFICE MANAGER)
(601) 656-9900
Entity
Organization
Contact information
Practice address
1122 E MAIN ST STE 6, PHILADELPHIA, MS 39350-2348
(601) 656-9900
(601) 656-9933
Mailing address
1122 E MAIN ST STE 6, PHILADELPHIA, MS 39350-2348
(601) 656-9900
(601) 656-9933
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07127088
—
MS
Enumeration date
10/12/2006
Last updated
07/21/2022
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