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Southern Star Medical Group Llc
Health Service Clinic/Center in Hattiesburg, Mississippi
NPI 1568794279

Southern Star Medical Group Llc is a Health Service Clinic/Center based in Greenville, MS and is specialized in Health Service. Southern Star Medical Group Llc practices in Hattiesburg, MS. The NPI Number for Southern Star Medical Group Llc is 1568794279 and holds a License No. 18593 (Mississippi).

The current practice location address for Southern Star Medical Group Llc is 67 Highpointe Dr, Hattiesburg, MS and can be reached out via phone at 601-874-5941.

Location: 67 Highpointe Dr, Hattiesburg, MS, 38704-4577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568794279
Provider Name
Southern Star Medical Group Llc
Credential
Provider Entity Type
Organization
Address
67 Highpointe Dr, Hattiesburg, MS, 38704-4577
Phone Number
601-874-5941
Fax Number
Provider Enumeration Date
02/04/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 MS
institution
Provider Business Practice Location Address Details
Address
67 Highpointe Dr
City
Hattiesburg
State
Mississippi
Zip
39402-9536
Phone Number
601-874-5941
Fax Number
person
Provider Business Mailing Address Details
Address
67 Highpointe Dr
City
Hattiesburg
State
Mississippi
Zip
39402-9536
Phone Number
601-874-5941
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
18593 (Mississippi)
Definition
Definition to come...
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