| |
6500 Old Canton Rd Ridgeland MS 39157-1313 | |
(601) 956-0010 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center |
Location | 6500 Old Canton Rd, Ridgeland, Mississippi |
Authorized Official Name and Position | Leo C Huddleston (OWNER) |
Authorized Official Contact | 6019530010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6500 Old Canton Rd Ridgeland MS 39157-1313 Ph: (601) 956-0010 | 6500 Old Canton Rd Ridgeland MS 39157-1313 Ph: (601) 956-0010 |
NPI Number | 1255693602 |
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Provider Enumeration Date | 06/12/2012 |
Last Update Date | 06/13/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255693602 | NPI | - | NPPES |
00115050 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 624 (Mississippi) | Primary |
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