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Mississippi Breastfeeding Medicine Clinic, Pllc
Medical Specialty Clinic/Center in Madison, Mississippi
NPI 1487852992

Mississippi Breastfeeding Medicine Clinic, Pllc is a Medical Specialty Clinic/Center based in Madison, MS and is specialized in Medical Specialty. Mississippi Breastfeeding Medicine Clinic, Pllc practices in Madison, MS. The NPI Number for Mississippi Breastfeeding Medicine Clinic, Pllc is 1487852992 and holds a License No. (Mississippi).

The current practice location address for Mississippi Breastfeeding Medicine Clinic, Pllc is 111A Depot Dr, Madison, MS and can be reached out via phone at 601-898-7979 and via fax at 601-898-7989.

Location: 111A Depot Dr, Madison, MS, 39130-1538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487852992
Provider Name
Mississippi Breastfeeding Medicine Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
111A Depot Dr, Madison, MS, 39130-1538
Phone Number
601-898-7979
Fax Number
601-898-7989
Provider Enumeration Date
07/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09985283 05 MS
00115032 05 MS
institution
Provider Business Practice Location Address Details
Address
111A Depot Dr
City
Madison
State
Mississippi
Zip
39110-9395
Phone Number
601-898-7979
Fax Number
601-898-7989
person
Provider Business Mailing Address Details
Address
111A Depot Dr
City
Madison
State
Mississippi
Zip
39110-9395
Phone Number
601-898-7979
Fax Number
601-898-7989
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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