Organization Name: | PHYSICIANS AND SURGEONS |
NPI Number: | 1447264882 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MISTY JONES (OFFICE MANAGER) |
Mailing Address: | 1732 Commerce St Grenada |
State: | MS US |
Postal Code: | 389014615 |
Phone Number: | 6622262021 |
Fax Number: | 6622261516 |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |