Ann Marshall
NPI #1164878419 in Jackson, Mississippi
Provider Information
- NPI Number
- 1164878419
- Entity Type
- Organization
- Organization Name
- Ann Marshall
- Primary Specialty
- Clinic/Center - Methadone
- Enumeration Date
- May 5, 2016
- Last Updated
- May 5, 2016
Practice Location
- Address
- 2964 TERRY RD
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39212-3055
- Phone
- (601) 624-3352
Authorized Official
- Name
- ANN MARSHALL
- Title
- ADMINISTRATOR
- Phone
- (601) 624-3352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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