NPI 1255924346
Pmgroup
Practice location
- Address
- 300 Fairway Dr, Hattiesburg, MS 39401-7715
- Phone
- (601) 329-1321
Authorised official
- Name
- Jacob Cornelius Parker
- Title
- Psychiatrist
- Phone
- (601) 329-1321
Registered specialties (3)
Clinical Medical Laboratory
Primary
Mental Health Counselor
Private Vehicle
Registry record
- NPI
- 1255924346
- Entity type
- Organization
- NPI issued
- 19 Feb 2021
- Record last updated
- 6 May 2024
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.