Lighthouse Pediatric & After Hours Clinic, PA

NPI #1881945475 in Clinton, Mississippi

Provider Information

NPI Number: 1881945475
Entity Type: Organization
Organization Name: Lighthouse Pediatric & After Hours Clinic, PA
Primary Specialty: Pediatrics
Enumeration Date: Sep 24, 2012
Last Updated: Sep 24, 2012

Practice Location

Address: 501 SPRINGRIDGE RD
City: Clinton
State: Mississippi
ZIP Code: 39056-5633
Phone: (601) 488-4171

Authorized Official

Name: DR. TAMMY LASHELLE SIMS, M.D.
Title: CEO
Phone: (601) 488-4171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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