Medical Mall Services of Mississippi, LLC

NPI #1679843452 in Jackson, Mississippi

Provider Information

NPI Number
1679843452
Entity Type
Organization
Organization Name
Medical Mall Services of Mississippi, LLC
Primary Specialty
Clinic/Center - Health Service
Enumeration Date
Jan 10, 2012
Last Updated
Jan 10, 2012

Practice Location

Address
350 W WOODROW WILSON AVE
ZIP Code
39213-7681
Phone
(610) 672-2733

Authorized Official

Name
MR. JAMES CLAYTON BARDWELL
Title
CHIEF FINANCIAL OFFICER
Phone
(202) 459-4766

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Health ServiceHealth Service

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