Picayune Pediatrics LLC
NPI #1891150629 in Carriere, Mississippi
Provider Information
- NPI Number
- 1891150629
- Entity Type
- Organization
- Organization Name
- Picayune Pediatrics LLC
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Dec 21, 2015
- Last Updated
- Dec 22, 2015
Practice Location
- Address
- 200 COUNTRY CLUB RD
- City
- Carriere
- State
- Mississippi
- ZIP Code
- 39426-9037
- Phone
- (601) 590-1045
Authorized Official
- Name
- BETTY JO ALEXANDER, CPNP
- Title
- OWNER
- Phone
- (601) 590-1045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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