Copiah Lincoln Community College
NPI #1548659097 in Wesson, Mississippi
Provider Information
- NPI Number
- 1548659097
- Entity Type
- Organization
- Organization Name
- Copiah Lincoln Community College
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 21, 2015
- Last Updated
- Jan 21, 2015
Practice Location
- Address
- 1028 JC REDD DR
- City
- Wesson
- State
- Mississippi
- ZIP Code
- 39191-5020
- Phone
- (601) 643-8481
Authorized Official
- Name
- MOUZON BASS III
- Title
- AGENT
- Phone
- 18005559073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
| Family Medicine |
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