Organization · Type 2 NPI
Mississippi State Department of Health
Public Health or Welfare Agency · Grenada, MS
NPI number
1548670474
Active
Practice location
1240 Fairground Rd, Suite A
Grenada, MS 38901-4516
Fax (662) 227-1168
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...
Another provider at this address
About NPI 1548670474
Mississippi State Department of Health's National Provider Identifier is 1548670474, issued on Apr 30, 2014. The primary taxonomy on file is Public Health or Welfare Agency (251K00000X), and the practice location is in Grenada, MS. The record was last updated on Apr 30, 2014.