Eastgate Peds Care

NPI 1063557163 - Pediatrics - 208000000X

NPI Details
NPI 1063557163
Enumeration Date 02/20/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BEATRICE O. BEATRICE
Position PHYSICIAN
Phone (601) 484-5955
Fax (601) 484-5960
Practice Location
2203 HIGHWAY 39 N STE B
MERIDIAN MS, 39301-2609, US
Phone (601) 484-5955
Fax (601) 484-5960
Business Location
2203 HIGHWAY 39 N STE B
MERIDIAN MS, 39301-2609, US
Phone (601) 484-5955
Fax (601) 484-5960
Toxanomy
Taxonomy Code 208000000X
License State
License Number
Remove 1063557163 NPI Number
 

According to our database, Eastgate Peds Care NPI is 1063557163, taxonomy code is 208000000X Eastgate Peds Care physically located at 2203 Highway 39 N Ste B, Meridian MS, 39301-2609. NPI Number 1033115704 has the healthcare provider type.

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1063557163 NPI number is provided on an as is basis without warranty of any kind. 1063557163 is maintained by the National Plan & Provider Enumeration System. The contents of Eastgate Peds Care are for informational purposes only.