Open Air of Mslou LLC
NPI #1497754030 in Natchez, Mississippi
Provider Information
- NPI Number
- 1497754030
- Entity Type
- Organization
- Organization Name
- Open Air of Mslou LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jul 15, 2005
- Last Updated
- Feb 13, 2015
Practice Location
- Address
- 54 SEARGENT PRENTISS DR S
- Address 2
- SUITE 100
- City
- Natchez
- State
- Mississippi
- ZIP Code
- 39120
- Phone
- (601) 442-2585
Authorized Official
- Name
- PATRICK G HOWARD
- Title
- MANAGING MEMBER
- Phone
- (337) 291-9161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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