| Jjl Care Center Of Mississippi, Inc. | |
|
4209 Lakeland Dr Ste 374 Flowood MS 39232-9212 | |
| (601) 454-8311 | |
| Not Available |
| Full Name | Jjl Care Center Of Mississippi, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4209 Lakeland Dr Ste 374, Flowood, Mississippi |
| Authorized Official Name and Position | Charles N Crenshaw (OWNER) |
| Authorized Official Contact | 6014548311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jjl Care Center Of Mississippi, Inc. 4209 Lakeland Dr Ste 374 Flowood MS 39232-9212 Ph: (601) 454-8311 | Jjl Care Center Of Mississippi, Inc. 4209 Lakeland Dr Ste 374 Flowood MS 39232-9212 Ph: (601) 454-8311 |
| NPI Number | 1497990576 |
|---|---|
| Provider Enumeration Date | 12/03/2008 |
| Last Update Date | 12/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497990576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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