| J Fails, Llc | |
|
2210 Mill Street Ext Ste D Lucedale MS 39452-6079 | |
| (601) 953-3433 | |
| Not Available |
| Full Name | J Fails, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2210 Mill Street Ext Ste D, Lucedale, Mississippi |
| Authorized Official Name and Position | Jennifer Fails (OWNER) |
| Authorized Official Contact | 6019533433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| J Fails, Llc 309 Wellington Way Brandon MS 39047-8362 Ph: (601) 953-3433 | J Fails, Llc 2210 Mill Street Ext Ste D Lucedale MS 39452-6079 Ph: (601) 953-3433 |
| NPI Number | 1851980379 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851980379 | NPI | - | NPPES |
| 06852827 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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