Screws, Jeremy Clark

Screws, Jeremy Clark is an individual health care provider with primary practice located at 4210 Lincoln Rd , Hattiesburg MS 39402-3093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Screws, Jeremy Clark can be contacted via phone (601) 261-3500.

Contact Information

Primary practice address
4210 Lincoln Rd Hattiesburg MS 39402-3093
Phone: (601) 261-3500
Fax: (601) 579-5240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 37992 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 29294 Mississippi

Profile Details

NPI number 1376744151
LBN Legal business name Screws, Jeremy Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2007
Last updated May 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376744151 NPPES
Mississippi MEDICAID 02181532

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