institution
Mall Services, Llc
Primary Care Clinic/Center in Jackson, Mississippi
NPI 1285700617

Mall Services, Llc is a Primary Care Clinic/Center based in Jackson, MS and is specialized in Primary Care. Mall Services, Llc practices in Jackson, MS. The NPI Number for Mall Services, Llc is 1285700617 and holds a License No. V-014 (Mississippi).

The current practice location address for Mall Services, Llc is 350 W Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-982-0673 and via fax at 601-982-0459.

Location: 350 W Woodrow Wilson Ave, Jackson, MS, 39213-7681
institution
Provider Profile Details
NPI Number
1285700617
Provider Name
Mall Services, Llc
Credential
Provider Entity Type
Organization
Address
350 W Woodrow Wilson Ave, Jackson, MS, 39213-7681
Phone Number
601-982-0673
Fax Number
601-982-0459
Provider Enumeration Date
11/28/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08406271 05 MS
07606048 05 MS
institution
Provider Business Practice Location Address Details
Address
350 W Woodrow Wilson Ave
City
State
Zip
39213-7681
Phone Number
601-982-0673
Fax Number
601-982-0459
person
Provider Business Mailing Address Details
Address
350 W Woodrow Wilson Ave
City
State
Zip
39213-7681
Phone Number
601-982-0673
Fax Number
601-982-0459
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
V-014 (Mississippi)
Definition
Definition to come...
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