JACKSON RURAL HEALTH CLINIC P A

ROLLING FORK, MS
NPI1316975287
Entity TypeOrganization
Authorized ContactDANNY JACKSON
Owner
662-873-4361
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  253949)
Enumeration Date2006-06-29
Last Update Date2012-12-04
Business Address
JACKSON RURAL HEALTH CLINIC P A
29 S FOURTH ST
ROLLING FORK, MS 39159-5146
Phone number: 662-873-4361
Mailing Address
JACKSON RURAL HEALTH CLINIC P A
PO BOX 520
ROLLING FORK, MS 39159-0520
Phone number: 662-873-4361
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