MISSISSIPPI PHS PC

JACKSON, MS
NPI1326278615
Entity TypeOrganization
Authorized ContactNICOLE HOWARD
CFO
337-991-9276
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2009-07-21
Last Update Date2014-07-02
Business Address
MISSISSIPPI PHS PC
405 BRIARWOOD DRIVE SUITE 103
JACKSON, MS 39206-3029
Phone number: 901-261-4848
Mailing Address
MISSISSIPPI PHS PC
1509 DULLES DRIVE
LAFAYETTE, LA 70506
Phone number: 337-991-9276
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