NCC

NPI # 

Practice Address:

2416 Southerland Drive

Jackson, MS, 39216-3762

Practice Phone:

601-683-3200

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Code:

261Q00000X

Updated by NPPES on 7/1/2021. You can view the original data set for NPI # 1376195727 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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