MEDICARE: NESHOBA COUNTY GENERAL HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	207VF0040X	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
3	2084N0400X	Neurology Physician
4	261Q00000X	Clinic/Center
5	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1144665670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NESHOBA COUNTY GENERAL HOSPITAL

Provider Business Mailing Address
First Line	:	1003 HOLLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-2180
Country	:	US
Telephone Number	:	601-663-1200
Fax Number	:	601-663-1497

Provider Business Practice Location Address
First Line	:	1003 HOLLAND AVE
Second Line	:
City	:	PHILADELPHIA
State	:	MS
Zip	:	39350-2180
Country	:	US
Telephone Number	:	601-663-1200
Fax Number	:	601-663-1497

Authorized Official
Title or Position	:	CHIEF FINANCIAL OFFICER
Name	:	MR. SCOTT H MCNAIR
Credential	:
Telephone Number	:	601-663-1233

Provider Enumeration Date	:	05/10/2013
Last Update Date	:	08/18/2022

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Directions to “NESHOBA COUNTY GENERAL HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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