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Organization
MMO OF HATTIESBURG, LLC
Active
Organization
MMO OF HATTIESBURG, LLC
Active
Other names
Delta Medical Systems, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L. MILLER (CEO)
(225) 293-6774
Entity
Organization
Contact information
Practice address
990 HARDY ST, SUITE 4, HATTIESBURG, MS 39401-4161
(601) 602-0194
(601) 602-0197
Mailing address
728 NORTH BLVD, BATON ROUGE, LA 70802-5724
(225) 293-6774
(225) 291-9229
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/20/2006
Last updated
07/02/2010
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