NPI 1508353384 · live from the CMS NPI Registry
Baz Family Medical Clinic
Family Medicine in Pascagoula, MS. National Provider Identifier 1508353384, active.
NPI record
| NPI | 1508353384 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 4310 Chicot St, Pascagoula, MS 39581 |
| Practice phone | 717-421-5490 |
| Mailing address | 7922 Longwood Dr, Gautier, MS 39553 |
| Enumerated | April 17, 2018 |
| Last updated | April 17, 2018 |
| Authorized official | Jeanette Shabazz, Presiden |
| Other names | Baz Family Medical Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | R885984 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.