RIDGEWOOD CLINICS PA

JACKSON, MS
NPI1023233749
Entity TypeOrganization
Authorized ContactKRISHAN K. GUPTA
Physician
601-957-3211
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MS  12941)
Enumeration Date2007-04-16
Last Update Date2014-08-27
Business Address
RIDGEWOOD CLINICS PA
1059 RIDGEWOOD CLINIC
JACKSON, MS 39211
Phone number: 601-957-3211
Mailing Address
RIDGEWOOD CLINICS PA
1059 RIDGEWOOD CLINIC
JACKSON, MS 39211
Phone number: 601-957-3211