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Organization
PIECE OF MIND MEDICAL LLC
Active
Organization
PIECE OF MIND MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK O RESTER M.D, (OWNER)
(601) 326-7632
Entity
Organization
Contact information
Practice address
1000 LAKELAND SQUARE EXT, SUITE 800, FLOWOOD, MS 39232-7620
(601) 326-7632
(601) 326-7635
Mailing address
1000 LAKELAND SQUARE EXT, SUITE 800, FLOWOOD, MS 39232-7620
(601) 326-7632
(601) 326-7635
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
16623
MS
Other
Enumeration date
07/01/2016
Last updated
08/03/2016
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