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Organization

MISSISSIPPI STATE HOSPITAL AT WHITFIELD

Active
Parent organization
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Other names
Whitfield Medical Surgical Hospital Physicians
Organization subpart
Yes

Provider details

NPI number
Legal business name
MISSISSIPPI STATE HOSPITAL AT WHITFIELD
Authorized official
MR. JAMES G CHASTAIN (DIRECTOR)
(601) 351-8000
Entity
Organization

Contact information

Practice address
3550 HWY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586
Mailing address
P.O. BOX 1 FISCAL SERVICES, 3550 HWY 468 WEST, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8586

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
11-298
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09013085
MS
Enumeration date
07/14/2006
Last updated
05/05/2017
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