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Organization
MADISON HEALTHPLEX & SPORTS PERFORMANCE CENTER LLC
Active
Organization
MADISON HEALTHPLEX & SPORTS PERFORMANCE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY GRISSETT (DIRECTOR OF OPERATIONS)
60194417172
Entity
Organization
Contact information
Practice address
501 BAPTIST DR, MADISON, MS 39110-2026
(601) 944-1717
(601) 944-9780
Mailing address
501 BAPTIST DR, MADISON, MS 39110-2026
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/16/2014
Last updated
02/27/2014
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