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NPI Code Detail

MEDICARE: AP MED L L C

MEDICARE: AP MED L L C
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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1730834458
Entity Type Code : Organization
Provider Name (Legal Business Name) : AP MED L L C
Provider Business Mailing Address
First Line : 670 WEATHERSBY RD STE 140
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-9586
Country : US
Telephone Number : 601-318-0669
Fax Number :
Provider Business Practice Location Address
First Line : 670 WEATHERSBY RD STE 140
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-9586
Country : US
Telephone Number : 601-318-0669
Fax Number :
Authorized Official
Title or Position : CEO
Name : BILLY FORD
Credential : RN
Telephone Number : 601-543-8772
Provider Enumeration Date : 02/21/2022
Last Update Date : 02/04/2026

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Directions to “AP MED L L C ” Practice Location

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