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INLAND FAMILY PRACTICE CENTER LLC NPI 1023276946


NPI Information

NPI: 1023276946
Provider Name: INLAND FAMILY PRACTICE CENTER LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D1085090

Address:
3700 HARDY ST STE 10
HATTIESBURG, MS
ZIP 39402
Phone: (601) 602-2014
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INLAND FAMILY PRACTICE CENTER LLC is a family medicine in Hattiesburg, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. INLAND FAMILY PRACTICE CENTER LLC NPI is 1023276946. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3700 HARDY ST STE 10
HATTIESBURG, MS
ZIP 39402-614
Phone: (601) 602-2014
Fax: (601) 544-7013

The provider's authorized official is Ikechukwu Hyginus Okorie .
The authorized official title is Medical Director and has the following contact phone number (601) 544-7012.

The CLIA number assigned to this NPI record is 25D1085090 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/28/2008 and was last updated on 9/12/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine19875MISSISSIPPIYes

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: 11/14/2023

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