Organization · Type 2 NPI

Mississippi State Department of Health

Public Health or Welfare Agency · Olive Branch, MS

NPI number 1407266315 Active

Practice location

6569 Cockrum St, Bldg A, Suite 2
Olive Branch, MS 38654-3044

Fax (662) 895-2939

Mailing address

570 E Woodrow Wilson Ave
Jackson, MS 39216-4538

Specialties and licenses

TaxonomyCodeLicense
Public Health or Welfare Agency Primary 251K00000XNone listed

Public Health or Welfare Agency: Definition to come...

About NPI 1407266315

Mississippi State Department of Health's National Provider Identifier is 1407266315, issued on Apr 30, 2014. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Olive Branch, MS. The record was last updated on Apr 30, 2014.