| Mississippi University For Women | |
|
620 10th St South Cromwell Bldg Room 129 Columbus MS 39701 | |
| (662) 329-7270 | |
| (662) 329-7460 |
| Full Name | Mississippi University For Women |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 620 10th St South, Columbus, Mississippi |
| Authorized Official Name and Position | Beverly Joy Townsend (INTERIM DIRECTOR) |
| Authorized Official Contact | 6623297270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mississippi University For Women 1100 College St Muw-1340 Columbus MS 39701-5800 Ph: (662) 329-7270 | Mississippi University For Women 620 10th St South Cromwell Bldg Room 129 Columbus MS 39701 Ph: (662) 329-7270 |
| NPI Number | 1164422580 |
|---|---|
| Provider Enumeration Date | 07/28/2005 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164422580 | NPI | - | NPPES |
| 09014446 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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