Jjl Care Center of Mississippi, Inc.

NPI #1497990576 in Flowood, Mississippi

Provider Information

NPI Number: 1497990576
Entity Type: Organization
Organization Name: Jjl Care Center of Mississippi, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Dec 3, 2008
Last Updated: Dec 3, 2008

Practice Location

Address: 4209 LAKELAND DR STE 374
City: Flowood
State: Mississippi
ZIP Code: 39232-9212
Phone: (601) 454-8311

Authorized Official

Name: DR. CHARLES N CRENSHAW, M.D.
Title: OWNER
Phone: (601) 454-8311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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