| NPI | 1093038234 |
|---|---|
| Doing Business As | EAST MS STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES CARLISLE Director 601-581-7836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 31 136) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |