Jrco, LLC

NPI #1184056285 in Caledonia, Mississippi

Provider Information

NPI Number: 1184056285
Entity Type: Organization
Organization Name: Jrco, LLC
Primary Specialty: Specialist
Enumeration Date: Jul 31, 2013
Last Updated: Jul 31, 2013

Practice Location

Address: 9692 WOLFE RD
City: Caledonia
State: Mississippi
ZIP Code: 39740
Phone: (662) 356-0320

Authorized Official

Name: ALVIN RAY BEEZLEY JR., D.O.
Title: PROVIDER
Phone: (662) 356-0320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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