Jefferson Comprehensive Health Center, Inc.

NPI #1164892634 in Natchez, Mississippi

Provider Information

NPI Number: 1164892634
Entity Type: Organization
Organization Name: Jefferson Comprehensive Health Center, Inc.
Primary Specialty: Specialist
Enumeration Date: Sep 28, 2015
Last Updated: Sep 28, 2015

Practice Location

Address: 170 SGT PRENTISS DR
City: Natchez
State: Mississippi
ZIP Code: 39120-4737
Phone: (601) 786-3475

Authorized Official

Name: MRS. SHIRLEY ELLIS-STAMPLEY
Title: EXECUTIVE DIRECTOR
Phone: (601) 786-3475

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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