NPI 1033475967

Paki INC

Organisation Primary Care Clinic/Center Petal, MS

Practice location

Address: 126 W Central Ave, Petal, MS 39465-2314
Phone: (601) 296-2552
Fax: (601) 296-2397
Mailing address: PO Box 17708, Hattiesburg, MS 39404-7708

Authorised official

Name: Barry Monday
Title: Admin
Phone: (601) 296-2552

Registered specialties (2)

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Mississippi →

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X

Registry record

NPI: 1033475967
Entity type: Organization
NPI issued: 4 Apr 2012
Record last updated: 4 Apr 2012

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.