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Mississippi Center For Advanced Medicine, Pc
Specialist in Madison, Mississippi
NPI 1790227627

Mississippi Center For Advanced Medicine, Pc is a Specialist based in Madison, MS. Mississippi Center For Advanced Medicine, Pc practices in Madison, MS. The NPI Number for Mississippi Center For Advanced Medicine, Pc is 1790227627 and holds a License No. 23304 (Mississippi).

The current practice location address for Mississippi Center For Advanced Medicine, Pc is 7731 Old Canton Rd, Madison, MS and can be reached out via phone at 601-499-0935 and via fax at 601-499-0936.

Location: 7731 Old Canton Rd, Madison, MS, 39110-6114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790227627
Provider Name
Mississippi Center For Advanced Medicine, Pc
Credential
Provider Entity Type
Organization
Address
7731 Old Canton Rd, Madison, MS, 39110-6114
Phone Number
601-499-0935
Fax Number
601-499-0936
Provider Enumeration Date
11/09/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01212067 05 MS
institution
Provider Business Practice Location Address Details
Address
7731 Old Canton Rd
City
Madison
State
Mississippi
Zip
39110-6114
Phone Number
601-499-0935
Fax Number
601-499-0936
person
Provider Business Mailing Address Details
Address
7731 Old Canton Rd
City
Madison
State
Mississippi
Zip
39110-6114
Phone Number
601-499-0935
Fax Number
601-499-0936
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
23304 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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