| Medical Mall Health Services Of Jackson | |
|
450 Woodrow Wilson Drive Suite 499a Jackson MS 39312-4101 | |
| (601) 500-7709 | |
| Not Available |
| Full Name | Medical Mall Health Services Of Jackson |
|---|---|
| Speciality | Clinic/center |
| Location | 450 Woodrow Wilson Drive, Jackson, Mississippi |
| Authorized Official Name and Position | James C Bardwell (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2024482983 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Mall Health Services Of Jackson 2820 Bladensburg Road, Ne Washington DC 20018-4101 Ph: (202) 448-2983 | Medical Mall Health Services Of Jackson 450 Woodrow Wilson Drive Suite 499a Jackson MS 39312-4101 Ph: (601) 500-7709 |
| NPI Number | 1881975621 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 09/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881975621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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