Organization · Type 2 NPI
Mississippi State Department of Health
Public Health or Welfare Agency · Pontotoc, MS
NPI number
1053721761
Active
Practice location
341 Ridge Dr
Pontotoc, MS 38863-1214
Fax (662) 489-7181
Mailing address
570 E Woodrow Wilson Ave
Jackson, MS 39216-4538
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare Agency Primary | 251K00000X | None listed |
Public Health or Welfare Agency: Definition to come...
About NPI 1053721761
Mississippi State Department of Health's National Provider Identifier is 1053721761, issued on May 2, 2014. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Pontotoc, MS. The record was last updated on May 2, 2014.