PMB FAMILY MEDICAL LLC NPI 1013622315

NPI Information

  • NPI: 1013622315
  • Provider Name: PMB FAMILY MEDICAL, LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 710 HIGHLAND COLONY PKWY STE A-1
    RIDGELAND, MS
    ZIP 39157
  • Phone: (601) 398-9886

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NPI Details

PMB FAMILY MEDICAL, LLC is a primary care clinic center in Ridgeland, MS. PMB FAMILY MEDICAL, LLC NPI is 1013622315. The provider is registered as an organization entity type.

The provider's business location address is:

710 HIGHLAND COLONY PKWY STE A-1
RIDGELAND, MS
ZIP 39157-701
Phone: (601) 398-9886

The provider's authorized official is Daniel Hurley Mcfatter .
The authorized official title is Manager and has the following contact phone number (601) 750-6693.

The enumeration date for this NPI number is 1/20/2023 and was last updated on 1/20/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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