Boa Vida Hospital Of Aberdeen, Ms Llc

Specialty details in registry · Shaw, MS

Call (662) 754-3301 Directions

At a glance

112 E Peeler Ave, Shaw, MS 38773

NPPES record updated May 29, 2025. Public records can lag behind changes at a practice.

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Practice location

112 E Peeler Ave
Shaw, MS 38773
Professional details: NPI, taxonomy & registry record
NPI1861287401
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QR1300X
Enumeration date
Apr 14, 2025
Record updated
May 29, 2025
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

261QR1300X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

112 E Peeler Ave
Shaw, MS 38773
Phone
(662) 754-3301
Fax
(662) 754-3304
Mailing address
10996 FOUR SEASONS PL STE 100C

CROWN POINT, IN 463077762
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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