Misissippi Providence Healthcare Services, Inc.
NPI #1639429970 in Moss Point, Mississippi
Provider Information
- NPI Number
- 1639429970
- Entity Type
- Organization
- Organization Name
- Misissippi Providence Healthcare Services, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 13, 2012
- Last Updated
- Jan 22, 2013
Practice Location
- Address
- 5907 HIGHWAY 90
- City
- Moss Point
- State
- Mississippi
- ZIP Code
- 39563-6536
- Phone
- (228) 769-2611
Authorized Official
- Name
- MR. CLARK P. CHRISTIANSON
- Title
- PRESIDENT
- Phone
- (251) 631-3574
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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