NPI 1942449368

Highland Community Clinic Network

Organisation Family Medicine Physician Picayune, MS

Practice location

Address: 1702 Highway 11 N, Picayune, MS 39466-2016
Phone: (601) 798-4711
Mailing address: 801 Goodyear Blvd, Picayune, MS 39466-3221

Authorised official

Name: Bryan Stevens
Title: Cfo
Phone: (601) 749-3119

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Registry record

NPI: 1942449368
Entity type: Organization
NPI issued: 9 Feb 2009
Record last updated: 9 Feb 2010

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.