Organization · NPI-2
Forrest General Hospital
Clinical Medical Laboratory · Hattiesburg, MS
NPI number1417545922
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1417545922
- Entity type
- Organization (NPI-2)
- Legal business name
- Forrest General Hospital
- Organization subpart
- No
- Enumeration date
- Jan 10, 2021
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 111NS0005X | Chiropractor, Sports Physician | – | – |
Practice location
415 S 28th AveHattiesburg, MS 39401-7283
Phone 601-264-6000
Mailing address
6051 U S Highway 49Hattiesburg, MS 39401-7200
Phone 601-288-7000
Authorized official
Jacob Cornelius Parker
Specialist Technologist
6012646000
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