MISISSIPPI PROVIDENCE HEALTHCARE SERVICES, INC.

MOSS POINT, MS
NPI1639429970
Entity TypeOrganization
Authorized ContactCLARK P. CHRISTIANSON
President
251-631-3574
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2012-09-13
Last Update Date2013-01-22
Business Address
MISISSIPPI PROVIDENCE HEALTHCARE SERVICES, INC.
5907 HIGHWAY 90
MOSS POINT, MS 39563-6536
Phone number: 228-769-2611
Mailing Address
MISISSIPPI PROVIDENCE HEALTHCARE SERVICES, INC.
PO BOX 850489
MOBILE, AL 36685-0489
Phone number: 251-342-3949
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