Mississippi Center for Advanced Medicine PC
NPI #1740636786 in Madison, Mississippi
Provider Information
- NPI Number
- 1740636786
- Entity Type
- Organization
- Organization Name
- Mississippi Center for Advanced Medicine PC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- May 9, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 7731 OLD CANTON RD STE B
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6115
- Phone
- (601) 499-0935
Authorized Official
- Name
- SPENCER SULLIVAN, MD
- Title
- PRESIDENT AND CEO
- Phone
- (601) 863-9764
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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