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M3 Medical Services LLC

Physician Assistant in Bogue Chitto, MS. Organization (NPI-2).

NPI number1013594498
StatusActive
Last updated in NPPESMar 24, 2021

Details

NPI
1013594498
Entity type
Organization (NPI-2)
Legal business name
M3 Medical Services LLC
Organization subpart
No
Enumeration date
Mar 24, 2021
Certification date
Mar 24, 2021
Last updated
Mar 24, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

768 Fox Rd Se
Bogue Chitto, MS 39629-3009

Phone 601-757-6192

Mailing address

768 Fox Rd Se
Bogue Chitto, MS 39629-3009

Phone 601-757-6192

Authorized official

Robin Haido
Credentialing Manager
6019441717

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