| More Health Care Llc | |
|
4612 Medgar Evers Blvd Suite 10 Jackson MS 39213-5205 | |
| (601) 321-9104 | |
| (601) 321-9138 |
| Full Name | More Health Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 4612 Medgar Evers Blvd, Jackson, Mississippi |
| Authorized Official Name and Position | Mary Lynn Hilliard (FAMILY NURSE PRACTITIONER) |
| Authorized Official Contact | 6012098432 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| More Health Care Llc P. O. Box 68483 Jackson MS 39286 Ph: (601) 321-9104 | More Health Care Llc 4612 Medgar Evers Blvd Suite 10 Jackson MS 39213-5205 Ph: (601) 321-9104 |
| NPI Number | 1053646190 |
|---|---|
| Provider Enumeration Date | 10/07/2009 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053646190 | NPI | - | NPPES |
| 500001874 | Other | MS | MEDICARE |
| 00115980 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R656046 (Mississippi) | Primary |
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