Provider Demographics
NPI:1558593764
Name:HEARTCARE OF SOUTHERN MISSISSIPPI
Entity Type:Organization
Organization Name:HEARTCARE OF SOUTHERN MISSISSIPPI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVEJOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:601-271-6517
Mailing Address - Street 1:7 PLANTERS LN
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-9488
Mailing Address - Country:US
Mailing Address - Phone:601-271-6517
Mailing Address - Fax:601-271-2980
Practice Address - Street 1:200 HOSPITAL DR W
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1346
Practice Address - Country:US
Practice Address - Phone:601-296-2140
Practice Address - Fax:601-296-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty