OrganizationActive
At Home Primary Care of Ms LLC
NPI 1801515622 · Primary Care Clinic/Center · Hattiesburg, MS
Provider details
- NPI number
- 1801515622
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Lisa Slade, Nurse Practitioner
Practice location
295 Archie Smith Rd
Hattiesburg, MS 39402-9322
Phone: (601) 207-1009
Mailing address
295 Archie Smith Rd
Hattiesburg, MS 39402-9322
Registry dates
- Enumerated
- 2022-08-24
- Last updated
- 2022-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.