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Organization
ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC
Active
Organization
ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MAPLESDEN (SR DIRECTOR RCM)
(615) 540-3708
Entity
Organization
Contact information
Practice address
3949 HIGHWAY 43 N, BRANDON, MS 39047-7240
(601) 829-2500
(601) 829-4278
Mailing address
PO BOX 671673, DALLAS, TX 75267-1673
(562) 303-9718
(562) 264-1219
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
7875
MS
2084P0800X
Psychiatry Physician
—
MS
363LF0000X
Family Nurse Practitioner
862194
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
850823
MS
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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