| Mississippi Neurology Center, Pa | |
|
1020 River Oaks Dr Suite 420 Flowood MS 39232-9500 | |
| (601) 939-4198 | |
| (601) 939-4120 |
| Full Name | Mississippi Neurology Center, Pa |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1020 River Oaks Dr, Flowood, Mississippi |
| Authorized Official Name and Position | Adele A Thiel (PRESIDENT) |
| Authorized Official Contact | 6019394198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi Neurology Center, Pa 1020 River Oaks Dr Suite 420 Flowood MS 39232-9500 Ph: (601) 939-4198 | Mississippi Neurology Center, Pa 1020 River Oaks Dr Suite 420 Flowood MS 39232-9500 Ph: (601) 939-4198 |
| NPI Number | 1144327420 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144327420 | NPI | - | NPPES |
| 09013832 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 12161 (Mississippi) | Primary |
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