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NPI Code Detail

MEDICARE: HOSPITALMD OF YAZOO CITY INC.

MEDICARE: HOSPITALMD OF YAZOO CITY INC.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1326269036
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPITALMD OF YAZOO CITY INC.
Provider Business Mailing Address
First Line : 401 CAMDEN COPE
Second Line : P.O. BOX 2087
City : PEACHTREE CITY
State : GA
Zip : 30269-2455
Country : US
Telephone Number : 678-364-1422
Fax Number : 678-364-1423
Provider Business Practice Location Address
First Line : 823 GRAND AVE
Second Line :
City : YAZOO CITY
State : MS
Zip : 39194-3233
Country : US
Telephone Number : 662-746-2261
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAMES H BURNETTE
Credential :
Telephone Number : 678-364-1422
Provider Enumeration Date : 05/01/2007
Last Update Date : 08/22/2020

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Directions to “HOSPITALMD OF YAZOO CITY INC. ” Practice Location

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