| Advanced Medical, LLC | |
|
625 S Pear Orchard Rd Ste B Ridgeland MS 39157-4811 | |
| (769) 233-8484 | |
| (769) 233-8484 |
| Full Name | Advanced Medical, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 625 S Pear Orchard Rd Ste B, Ridgeland, Mississippi |
| Authorized Official Name and Position | Greg Kaniecki (EVP, GROWTH & OPERATIONS) |
| Authorized Official Contact | 7692338484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical, LLC 625 S Pear Orchard Rd Ste B Ridgeland MS 39157-4811 Ph: (769) 233-8484 | Advanced Medical, LLC 625 S Pear Orchard Rd Ste B Ridgeland MS 39157-4811 Ph: (769) 233-8484 |
| NPI Number | 1427643220 |
|---|---|
| Provider Enumeration Date | 03/03/2021 |
| Last Update Date | 07/17/2026 |
| Certification Date | 07/17/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427643220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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