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Organization
EPS ON THE GO II
Active
Organization
EPS ON THE GO II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE MORGAN (OWNER/EXERCISE PHYSIOLOGIST)
(601) 456-9894
Entity
Organization
Contact information
Practice address
5773 OLD CANTON RD, JACKSON, MS 39211-3202
(601) 456-9894
Mailing address
5773 OLD CANTON RD, JACKSON, MS 39211-3202
(601) 456-9894
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
NULL
172V00000X
Community Health Worker
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
NULL
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
08/16/2019
Last updated
08/31/2020
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