Provider Demographics
NPI:1760254155
Name:MISSISSIPPI PERINATAL, PLLC
Entity Type:Organization
Organization Name:MISSISSIPPI PERINATAL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PRESTON
Authorized Official - Last Name:HOGG
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:601-973-7405
Mailing Address - Street 1:214 DRAPERTON DR
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-3907
Mailing Address - Country:US
Mailing Address - Phone:601-973-7405
Mailing Address - Fax:601-973-7406
Practice Address - Street 1:214 DRAPERTON DR
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-3907
Practice Address - Country:US
Practice Address - Phone:601-973-7405
Practice Address - Fax:601-973-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-27
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty