NPI 1003620675

Legacy Family Care Clinic

Organisation Primary Care Clinic/Center Hattiesburg, MS

Practice location

Address: 6798 U S Highway 98 STE 30, Hattiesburg, MS 39402-7987
Phone: (601) 596-9053
Fax: (601) 336-6615

Authorised official

Name: Tarah Chatham
Title: Owner
Phone: (601) 596-9053

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Mississippi →

Registry record

NPI: 1003620675
Entity type: Organization
NPI issued: 4 Feb 2025
Record last updated: 12 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.