# MS WOUND CARE

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

## Provider details

- **NPI number:** 1891880621
- **Authorized official:** CAS HEATH III MD (MANAGING PHYSICIAN)
- **Authorized official phone:** (601) 936-6001

## Contact information

- **Practice address:** 1225 N STATE ST, JACKSON, MS 39202-2064
- **Practice address phone:** (601) 936-6001
- **Practice address fax:** (601) 933-4389
- **Mailing address:** PO BOX 23757, JACKSON, MS 39225-3757
- **Mailing address phone:** (601) 936-6001
- **Mailing address fax:** (601) 936-4389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0011X | Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | — | MS | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 09015324 | — | MS |