Mall Services, LLC
NPI #1699005983 in Jackson, Mississippi
Provider Information
- NPI Number
- 1699005983
- Entity Type
- Organization
- Organization Name
- Mall Services, LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 8, 2010
- Last Updated
- Jan 8, 2010
Practice Location
- Address
- 386 RAYMOND RD
- Address 2
- BUILDING 30
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39204-3700
- Phone
- (601) 982-0673
Authorized Official
- Name
- MRS. CHRISTAL ROGERS, LPN
- Title
- CLINIC MANAGER
- Phone
- (601) 952-0673
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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