CLAIB CTY HSP PRO FEES

PORT GIBSON, MS
NPI1558480491
Entity TypeOrganization
Authorized ContactRAY L SHOEMAKER
CEO
662-321-1155
Organization Subpart ?No
Primary Taxonomy207PE0004X Emergency Medicine, Emergency Medical Services
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
207RC0000X Internal Medicine, Cardiovascular Disease
Enumeration Date2007-03-29
Last Update Date2010-06-14
Business Address
CLAIB CTY HSP PRO FEES
123 MCCOMB AVE
PORT GIBSON, MS 39150-2915
Phone number: 601-437-5141
Mailing Address
CLAIB CTY HSP PRO FEES
123 MCCOMB AVE P O BOX 1004
PORT GIBSON, MS 39150-2915
Phone number: 601-437-5141