# EPS ON THE GO II

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

## Provider details

- **NPI number:** 1790331643
- **Authorized official:** EUGENE MORGAN (OWNER/EXERCISE PHYSIOLOGIST)
- **Authorized official phone:** (601) 456-9894

## Contact information

- **Practice address:** 5773 OLD CANTON RD, JACKSON, MS 39211-3202
- **Practice address phone:** (601) 456-9894
- **Mailing address:** 5773 OLD CANTON RD, JACKSON, MS 39211-3202
- **Mailing address phone:** (601) 456-9894

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 174H00000X | Health Educator | — | NULL | — |
| 174H00000X | Health Educator | — | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 224Y00000X | Clinical Exercise Physiologist | — | NULL | — |
| 224Y00000X | Clinical Exercise Physiologist | — | — | — |

## Other

- **Enumeration date:** 08/16/2019
- **Last updated:** 08/31/2020