Midsouth Neuro Behavioral Associates | |
519 Alabama St Columbus MS 39702-5305 | |
(662) 328-5949 | |
Not Available |
Full Name | Midsouth Neuro Behavioral Associates |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 519 Alabama St, Columbus, Mississippi |
Authorized Official Name and Position | Samuel Wilson (MANAGER) |
Authorized Official Contact | 6623285949 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midsouth Neuro Behavioral Associates 519 Alabama St Columbus MS 39702-5305 Ph: (662) 328-5949 | Midsouth Neuro Behavioral Associates 519 Alabama St Columbus MS 39702-5305 Ph: (662) 328-5949 |
NPI Number | 1699946202 |
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Provider Enumeration Date | 03/22/2008 |
Last Update Date | 03/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699946202 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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