Moss Point Visionary Circle INC
NPI #1184241812 in Moss Point, Mississippi
Provider Information
- NPI Number
- 1184241812
- Entity Type
- Organization
- Organization Name
- Moss Point Visionary Circle INC
- Primary Specialty
- Point of Service
- Enumeration Date
- Jun 29, 2020
- Last Updated
- Jun 29, 2020
Practice Location
- Address
- 4425 GRIFFIN ST
- City
- Moss Point
- State
- Mississippi
- ZIP Code
- 39563-3707
- Phone
- (601) 345-1903
Authorized Official
- Name
- MR. CHRISTOPHER CARTER
- Title
- PROJECT DIRECTOR
- Phone
- (601) 345-1903
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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