Legacy Family Care Clinic

NPI #1003620675 in Hattiesburg, Mississippi

Provider Information

NPI Number
1003620675
Entity Type
Organization
Organization Name
Legacy Family Care Clinic
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Feb 4, 2025
Last Updated
Jun 12, 2025

Practice Location

Address
6798 U S HIGHWAY 98 STE 30
ZIP Code
39402-7987
Phone
(601) 596-9053

Authorized Official

Name
MRS. TARAH CHATHAM, FNP-C
Title
OWNER
Phone
(601) 596-9053

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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