WILLIAM CAREY UNIVERSITY NPI 1235601907

NPI Information

  • NPI: 1235601907
  • Provider Name: WILLIAM CAREY UNIVERSITY
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 25D2208906
  • Address: 710 WILLIAM CAREY PKWY
    HATTIESBURG, MS
    ZIP 39401
  • Phone: (972) 367-4845

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NPI Details

WILLIAM CAREY UNIVERSITY is a general practice in Hattiesburg, MS. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

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: 11/21/2025

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