WILLIAM CAREY UNIVERSITY NPI 1235601907

NPI Information

WILLIAM CAREY UNIVERSITY is a general practice in Hattiesburg, MS. WILLIAM CAREY UNIVERSITY NPI is 1235601907. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

710 WILLIAM CAREY PKWY
HATTIESBURG, MS
ZIP 39401-842
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Administrator/agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 25D2208906 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2018 and was last updated on 12/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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