121 MEDICAL PLACE, INC

NPI # 

Practice Address:

820 Mangum Ave

Mendenhall, MS, 39114-3025

Practice Phone:

601-906-1897

License Number:

R863242

License State:

MS

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Community Health

Taxonomy Code:

261QC1500X

Updated by NPPES on 8/6/2025. You can view the original data set for NPI # 1588106553 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 If the information about this NPI provider/company is outdated you can request updates through the NPPES website.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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121 MEDICAL PLACE, INC's

CMS CPT® coding data

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121 MEDICAL PLACE, INC's

CMS prescription data

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