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Organization
CRESCENTWORLD ENTERPRISES, PLLC
Active
Organization
CRESCENTWORLD ENTERPRISES, PLLC
Active
Other names
HeartPLUS Diagnostic Clinic /Celestial Health & Wellness, Heart Plus Center
Organization subpart
No
Provider details
NPI number
Authorized official
BERTHRONE MOCK-MUHAMMAD MD, FACC (PHYSICIAN OWNER)
(601) 707-7899
Entity
Organization
Contact information
Practice address
406 BRIARWOOD DR STE 401, JACKSON, MS 39206-3063
(601) 707-7899
(866) 304-0148
Mailing address
PO BOX 5025, JACKSON, MS 39296-5025
(601) 707-7899
(866) 304-0148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
2251C2600X
Cardiopulmonary Physical Therapist
—
NULL
2251C2600X
Cardiopulmonary Physical Therapist
—
—
2251E1300X
Clinical Electrophysiology Physical Therapist
—
NULL
2251E1300X
Clinical Electrophysiology Physical Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03925069
—
MS
01
—
1285781153
NPI
MS
Enumeration date
07/24/2014
Last updated
09/26/2023
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