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Organization
MISSISSIPPI UROLOGY CLINIC, PLLC
Active
Organization
MISSISSIPPI UROLOGY CLINIC, PLLC
Active
Other names
Mississippi Urology Clinic, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD JASON BLALOCK MD (PRESIDENT)
(601) 353-9900
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR STE 202, FLOWOOD, MS 39232-9534
(601) 353-9900
(601) 414-5381
Mailing address
501 MARSHALL ST STE 301, JACKSON, MS 39202-1687
(601) 353-9900
(601) 353-3654
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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