Reach Mississippi Foundation Inc.

NPI #1053574210 in Vicksburg, Mississippi

Provider Information

NPI Number: 1053574210
Entity Type: Organization
Organization Name: Reach Mississippi Foundation Inc.
Primary Specialty: Specialist
Enumeration Date: Jul 8, 2008
Last Updated: Jul 8, 2008

Practice Location

Address: 3420 WISCONSIN AVE
Address 2: SUITE 5
City: Vicksburg
State: Mississippi
ZIP Code: 39180-5384
Phone: (601) 661-8400

Authorized Official

Name: MS. WHITNEY ANN DOIRON, NP-C
Title: NURSE PRACTITIONER
Phone: (601) 661-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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