Healthcare Provider Details

I. General information

NPI: 1821638578
Provider Name (Legal Business Name): RELIAS HOSPITALIST MEDICINE SPECIALISTS OF WEST POINT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2020
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MEDICAL CENTER DR
WEST POINT MS
39773-0428
US

IV. Provider business mailing address

8 OAK PARK DR
BEDFORD MA
01730-1414
US

V. Phone/Fax

Practice location:
  • Phone: 662-432-4106
  • Fax:
Mailing address:
  • Phone: 662-432-4106
  • Fax: 781-276-6411

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER KATHRYN WAKEFORD
Title or Position: ENTERPRISE CFO
Credential:
Phone: 205-901-5103