Mall Services, LLC
NPI #1548539117 in Jackson, Mississippi
Provider Information
- NPI Number
- 1548539117
- Entity Type
- Organization
- Organization Name
- Mall Services, LLC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Dec 27, 2011
- Last Updated
- Dec 27, 2011
Practice Location
- Address
- 1860 CHADWICK DR
- Address 2
- SUITE 305
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-3463
- Phone
- (601) 503-4960
Authorized Official
- Name
- DR. AARON SHIRLEY, M.D.
- Title
- PROJECT DIRECTOR
- Phone
- (601) 982-0673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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