Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lucedale Family Medical Clinic

Organization Family Medicine Physician · NPI 1992409262

Lucedale Family Medical Clinic is a Family Medicine Physician in Lucedale, Mississippi. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

223 Winter St Ste D
Lucedale, MS 39452-6078
Phone: (601) 791-5012
Fax: (601) 791-5013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1992409262
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bridgot Peters — Billing Director · (251) 445-7618
Other names Lucedale Family Medical Clinic, Llc
NPI enumeratedMarch 29, 2023
Last updated in NPPESMay 10, 2024
Certification dateMay 10, 2024
Mailing address6577 Creel Rd, Theodore, AL 36582-3857

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