Pediatric Place, LLC
NPI #1750074415 in Ridgeland, Mississippi
Provider Information
- NPI Number
- 1750074415
- Entity Type
- Organization
- Organization Name
- Pediatric Place, LLC
- Primary Specialty
- Clinic/Center - Medically Fragile Infants and Children Day Care
- Enumeration Date
- May 30, 2023
- Last Updated
- May 30, 2023
Practice Location
- Address
- 116 MARKETRIDGE DR
- City
- Ridgeland
- State
- Mississippi
- ZIP Code
- 39157-6009
- Phone
- (601) 613-4254
Authorized Official
- Name
- CARMEN M YOUNG
- Title
- EXECUTIVE DIRECTOR
- Phone
- (601) 613-4254
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medically Fragile Infants and Children Day Care — Medically Fragile Infants and Children Day Care |
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