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1194083139
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
JACKSON, MS
NPI
1194083139
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Entity Type
Organization
Authorized Contact
TIMOTHY P MCNEIL
COO
202-344-5465
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2012-04-27
Last Update Date
2015-03-12
Business Address
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
350 W WOODROW WILSON AVE SUITE 499A
JACKSON, MS 39213-7681
Phone number: 601-700-7709
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Mailing Address
MEDICAL MALL HEALTH SERVICES OF MISSISSIPPI, LLC
350 W WOODROW WILSON AVE. SUITE 499A
JACKSON, MS 39213-7681
Phone number: 601-700-7709
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