# MCAFEE SAFETY ANALYSIS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710553052
- **Authorized official:** MR. ROBERT DANIEL BRIDGEWATER (OFFICE ADMINSTRATOR)
- **Authorized official phone:** (601) 812-6252

## Contact information

- **Practice address:** 875 NORTHPARK DR STE 200, RIDGELAND, MS 39157-5223
- **Practice address phone:** (601) 812-6252
- **Mailing address:** 875 NORTHPARK DR STE 200, RIDGELAND, MS 39157-5223
- **Mailing address phone:** (601) 812-6252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 05/27/2021
- **Last updated:** 05/27/2021