Grhs Hospital Pediatricians

NPI #1932765625 in Lucedale, Mississippi

Provider Information

NPI Number: 1932765625
Entity Type: Organization
Organization Name: Grhs Hospital Pediatricians
Subpart: Yes (part of a larger organization)
Parent Organization: COMMUNITY MEDICAL CENTER
Primary Specialty: Pediatrics
Enumeration Date: May 17, 2019
Last Updated: May 17, 2019

Practice Location

Address: 859 WINTER ST
City: Lucedale
State: Mississippi
ZIP Code: 39452-6603
Phone: (601) 947-8181

Authorized Official

Name: SUSAN MARIE RUTLEDGE
Title: AO
Phone: (601) 947-1330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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