MMO OF HATTIESBURG, LLC

HATTIESBURG, MS
NPI1629022017
Former Legal Business NameDELTA MEDICAL SYSTEMS, LLC
Entity TypeOrganization
Authorized ContactROBERT L. MILLER
CEO
225-293-6774
Organization Subpart ?No
Primary Taxonomy261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)
Enumeration Date2006-05-20
Last Update Date2010-07-02
Business Address
MMO OF HATTIESBURG, LLC
990 HARDY ST SUITE 4
HATTIESBURG, MS 39401-4161
Phone number: 601-602-0194
Mailing Address
MMO OF HATTIESBURG, LLC
728 NORTH BLVD
BATON ROUGE, LA 70802-5724
Phone number: 225-293-6774