| Lanier Health Clinic | |
|
833 Maple St Jackson MS 39203-3844 | |
| (601) 982-0673 | |
| Not Available |
| Full Name | Lanier Health Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 833 Maple St, Jackson, Mississippi |
| Authorized Official Name and Position | Aaron Shirley (DIRECTOR) |
| Authorized Official Contact | 6019820673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanier Health Clinic 350 W Woodrow Wilson Ave Suite 615 Jackson MS 39213-7681 Ph: (601) 982-0673 | Lanier Health Clinic 833 Maple St Jackson MS 39203-3844 Ph: (601) 982-0673 |
| NPI Number | 1881878577 |
|---|---|
| Provider Enumeration Date | 12/18/2007 |
| Last Update Date | 12/18/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881878577 | NPI | - | NPPES |
| 08151531 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | R729183 (Mississippi) | Primary |
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