| V A South | |
|
4304 Highway 80 W Ste A, Jackson, MS 39209-5922 | |
| (601) 636-6019 | |
| (601) 661-8457 |
| Full Name | V A South |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 4304 Highway 80 W Ste A, Jackson, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821152877 | NPI | - | NPPES |
| 00124552 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT2019 (Mississippi) | Secondary |
| 225100000X | Physical Therapist | PT3192 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| V A South Po Box 3183, Ridgeland, MS 39158-3183 Ph: (601) 636-6019 | V A South 4304 Highway 80 W Ste A, Jackson, MS 39209-5922 Ph: (601) 636-6019 |
Charles David Herrington, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, Suite 500, Jackson, MS 39202 Phone: 601-352-2273 Fax: 601-714-3415 | |
Amanda B Thomas, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6250 Old Canton Rd Ste 130, Jackson, MS 39211 Phone: 601-956-7280 Fax: 601-977-6244 | |
Baptist Pt- Lymphedema Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-974-6243 | |
Dr. Brianna Kayla Melisha Mcfarland, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5225 Highway 18 W, Jackson, MS 39209 Phone: 601-487-8456 | |
Physical Rehabilitation Management Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 128 Byram Center Drive, Jackson, MS 39272 Phone: 601-502-1194 Fax: 601-502-1195 | |
Richard Rowe, PTA Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2475 Lakeland Dr Ste A, Jackson, MS 39232 Phone: 601-636-6019 Fax: 601-661-8457 | |
William David Henry, DMD, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 5935 Highway 18 W, Jackson, MS 39209 Phone: 601-922-7028 Fax: 601-922-9005 |