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Organization
GLOBAL TREATMENT CLINIC OF JACKSON LLC
Active
Organization
GLOBAL TREATMENT CLINIC OF JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALANNA JILLIAN WRIGHT NP (NURSE PRACTITIONER)
(601) 665-7256
Entity
Organization
Contact information
Practice address
2460 TERRY RD, SUITE 800, JACKSON, MS 39204-5767
(601) 373-1766
(601) 373-1767
Mailing address
2460 TERRY RD, SUITE 800, JACKSON, MS 39204-5767
(601) 665-7256
(601) 373-1767
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
R854233
MS
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R854233
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251290930A
BLUE CROSS BLUE SHIELD OF MISSISSIPPI
MS
01
—
30250I2670
MEDICARE PTAN#
MS
Enumeration date
12/26/2012
Last updated
06/26/2014
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