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Organization
MEDICAL MALL HEALTH SERVICES, LLC
Active
Organization
MEDICAL MALL HEALTH SERVICES, LLC
Active
Other names
Medical Mall Health Services of Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C BARDWELL (CHIEF FINANCIAL OFFICER)
(202) 448-2983
Entity
Organization
Contact information
Practice address
450 WOODROW WILSON DRIVE, SUITE 499A, JACKSON, MS 39312-4101
(601) 500-7709
Mailing address
2820 BLADENSBURG ROAD, NE, WASHINGTON, DC 20018-4101
(202) 448-2983
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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