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CROSSGATES HMA MEDICAL GROUP LLC NPI 1972885093


NPI Information

NPI: 1972885093
Provider Name: CROSSGATES HMA MEDICAL GROUP, LLC

Doing Business As: MEDICAL ASSOCIATES OF RICHLAND

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1201 HIGHWAY 49 S
SUITE 1
RICHLAND, MS
ZIP 39218
Phone: (601) 326-8700
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CROSSGATES HMA MEDICAL GROUP, LLC is a pediatrics in Richland, MS. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CROSSGATES HMA MEDICAL GROUP, LLC NPI is 1972885093. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Associates Of Richland.

The provider's business location address is:

1201 HIGHWAY 49 S
SUITE 1
RICHLAND, MS
ZIP 39218-425
Phone: (601) 326-8700
Fax: (601) 326-8710

The provider's authorized official is Michael L Gingras .
The authorized official title is Vice President and has the following contact phone number (239) 598-3131.

The enumeration date for this NPI number is 9/14/2011 and was last updated on 11/27/2012.


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 MedicineNo
2208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1302G707132MEDICARE PIN

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: 4/28/2024

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