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Organization
MS SCHOOL FOR THE DEAF AND BLIND
Active
Organization
MS SCHOOL FOR THE DEAF AND BLIND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSIE PRIDGEN (INTERIM SUPERINTENDENT MSD)
(601) 984-8203
Entity
Organization
Contact information
Practice address
1253 EASTOVER DR, JACKSON, MS 39211-6315
(601) 984-8036
(601) 984-8030
Mailing address
1253 EASTOVER DR, JACKSON, MS 39211-6315
(601) 984-8036
(601) 984-8030
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AO661
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00076026
—
MS
05
—
06575367
—
MS
Enumeration date
12/01/2006
Last updated
08/22/2020
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