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

Misissippi Providence Healthcare Services, Inc

Organization Family Medicine Physician · NPI 1639429970

Misissippi Providence Healthcare Services, Inc is a Family Medicine Physician in Moss Point, Mississippi. Licensed in Alabama. Registered with an NPI since 2012.

Licensed in
AL
In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5907 Highway 90
Moss Point, MS 39563-6536
Phone: (228) 769-2611
Fax: (228) 762-1638
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X (AL)

Record details

NPI number1639429970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clark Christianson — President · (251) 631-3574
NPI enumeratedSeptember 13, 2012
Last updated in NPPESJanuary 22, 2013
Mailing addressPo Box 850489, Mobile, AL 36685-0489

Other providers in Moss Point