Organization
MOUND BAYOU PUBLIC SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CROCKETT EDS ADMINISTRATION (SUPERINTENDENT)
(662) 741-2555
Entity
Organization
Contact information
Practice address
202 W MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9775
(662) 741-2433
Mailing address
301 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9738
(662) 741-2555
(662) 741-2726
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
09015483
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015483
—
MS
Enumeration date
12/21/2007
Last updated
09/06/2023
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