OrganizationActive
Legacy Family Care Clinic
NPI 1003620675 · Primary Care Clinic/Center · Hattiesburg, MS
Provider details
- NPI number
- 1003620675
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tarah Chatham, Owner(601) 596-9053
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
6798 U S Highway 98 Ste 30
Hattiesburg, MS 39402-7987
Phone: (601) 596-9053
Fax: (601) 336-6615
Approximate (ZIP-level) locationGet directions
Mailing address
6798 U S Highway 98 Ste 30
Hattiesburg, MS 39402-7987
Registry dates
- Enumerated
- 2025-02-04
- Last updated
- 2025-06-12
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.