COPIAH LINCOLN COMMUNITY COLLEGE NPI 1548659097

NPI Information

  • NPI: 1548659097
  • Provider Name: COPIAH LINCOLN COMMUNITY COLLEGE
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COLIN SPORTS MEDICINE
  • Address: 1028 JC REDD DR
    WESSON, MS
    ZIP 39191
  • Phone: (601) 643-8481

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NPI Details

COPIAH LINCOLN COMMUNITY COLLEGE is a family medicine in Wesson, 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. COPIAH LINCOLN COMMUNITY COLLEGE NPI is 1548659097. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Colin Sports Medicine.

The provider's business location address is:

1028 JC REDD DR
WESSON, MS
ZIP 39191-020
Phone: (601) 643-8481
Fax: (972) 367-3451

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number 18005559073.

The enumeration date for this NPI number is 1/21/2015 and was last updated on 1/21/2015.

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
1207QS0010XFamily MedicineSports MedicineNo
2207Q00000XFamily MedicineYes

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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