NPI 1578564712
Picayune Clinic LLC
Practice location
- Address
- 801 Goodyear Blvd, Picayune, MS 39466-3221
- Phone
- (601) 798-4711
- Fax
- (601) 749-3187
Authorised official
- Name
- Steve Grimm
- Title
- Ceo
- Phone
- (601) 798-4711
Registered specialties
Rural Acute Care Hospital
Primary
Registry record
- NPI
- 1578564712
- Entity type
- Organization
- NPI issued
- 10 Aug 2005
- Record last updated
- 22 Aug 2020
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.