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Living Waters Community Medical Center Pllc
Specialist in Pass Christian, Mississippi
NPI 1144403122

Living Waters Community Medical Center Pllc is a Specialist based in Pass Christian, MS. Living Waters Community Medical Center Pllc practices in Pass Christian, MS. The NPI Number for Living Waters Community Medical Center Pllc is 1144403122 and holds a License No. 06960 (Mississippi).

The current practice location address for Living Waters Community Medical Center Pllc is 13472 Vidalia Rd, Pass Christian, MS and can be reached out via phone at 228-586-2455.

Location: 13472 Vidalia Rd, Pass Christian, MS, 39571-8300
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144403122
Provider Name
Living Waters Community Medical Center Pllc
Credential
Provider Entity Type
Organization
Address
13472 Vidalia Rd, Pass Christian, MS, 39571-8300
Phone Number
228-586-2455
Fax Number
Provider Enumeration Date
12/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015234 05 MS
institution
Provider Business Practice Location Address Details
Address
13472 Vidalia Rd
City
Pass Christian
State
Mississippi
Zip
39571-8300
Phone Number
228-586-2455
Fax Number
person
Provider Business Mailing Address Details
Address
13472 Vidalia Rd
City
Pass Christian
State
Mississippi
Zip
39571-8300
Phone Number
228-586-2455
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
06960 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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