West Mississippi Medical Services

NPI #1215451794 in Vicksburg, Mississippi

Provider Information

NPI Number
1215451794
Entity Type
Organization
Organization Name
West Mississippi Medical Services
Primary Specialty
Family Medicine - Addiction Medicine
Enumeration Date
Jul 27, 2017
Last Updated
Jul 27, 2017

Practice Location

Address
100 MCAULEY DR
ZIP Code
39183-2825
Phone
(601) 883-3532

Authorized Official

Name
STANLEY R EASTERLING, MD
Title
OWNER
Phone
(601) 636-8184

Specialties & Taxonomy Codes

Specialty
Family Medicine - Addiction MedicineAddiction Medicine

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