Southern Remedy Family Medicine

LBN: Southern Remedy Family Medicine
Southern Remedy Family Medicine is an health care organization with primary practice located at 3000 Plaza Dr Ste C , Tylertown MS 39667-9227. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Southern Remedy Family Medicine can be contacted via phone (601) 803-5676, or through Hill, Chelsea via phone (601) 303-1111.

Contact Information

Primary practice address
3000 Plaza Dr Ste C Tylertown MS 39667-9227
Phone: (601) 803-5676
Fax: (601) 803-5677
Website:
Map and Directions
Authorized official contact:
Name: Hill, Chelsea Family Nurse Practitioner (FNP)
Phone: (601) 303-1111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X

Profile Details

NPI number 1639944416
LBN Legal business name Southern Remedy Family Medicine
DBA Doing business as
Authorized official Hill, Chelsea Family Nurse Practitioner (FNP)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2023
Last updated Nov 21st, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639944416 NPPES
Mississippi MEDICAID 1235646688
Mississippi MEDICAID 1922559772

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