Oak Grove Longleaf
NPI #1053985226 in Hattiesburg, Mississippi
Provider Information
- NPI Number
- 1053985226
- Entity Type
- Organization
- Organization Name
- Oak Grove Longleaf
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 13, 2021
- Last Updated
- Feb 5, 2026
Practice Location
- Address
- 5279 W 4TH ST
- City
- Hattiesburg
- State
- Mississippi
- ZIP Code
- 39402-9700
- Phone
- (601) 264-3858
Authorized Official
- Name
- JANICE ROBINSON
- Title
- CEO
- Phone
- (601) 545-8700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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