Lincoln Center Clinic

NPI #1023350006 in Hattiesburg, Mississippi

Provider Information

NPI Number: 1023350006
Entity Type: Organization
Organization Name: Lincoln Center Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: FORREST COUNTY GENERAL HOSPITAL
Primary Specialty: Family Medicine
Enumeration Date: Mar 18, 2013
Last Updated: Mar 18, 2013

Practice Location

Address: 1 LINCOLN PKWY
Address 2: SUITE 302
City: Hattiesburg
State: Mississippi
ZIP Code: 39402-3262
Phone: (601) 296-7848

Authorized Official

Name: R. ANDY WOODARD
Title: CFO
Phone: (601) 288-2892

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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