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1871883223
MEDSERVE, PA
JACKSON, MS
NPI
1871883223
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Entity Type
Organization
Authorized Contact
TODD L FULCHER
Physician, Owner
601-206-0901
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 12503)
Enumeration Date
2011-04-19
Last Update Date
2022-01-13
Business Address
MEDSERVE, PA
MANHATTAN NURSING AND REHABILITATION CENTER 4540 MANHATTAN RD
JACKSON, MS 39206
Phone number: 601-206-0901
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Mailing Address
MEDSERVE, PA
200 AMITY LN
BRANDON, MS 39047
Phone number: 601-206-0901
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