Organization
GLOBAL TREATMENT CLINIC OF JACKSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALANNA JILLIAN WRIGHT NP (NURSE PRACTITIONER)
(601) 665-7256
Entity
Organization
Contact information
Practice address
2460 TERRY RD, SUITE 800, JACKSON, MS 39204-5767
(601) 373-1766
(601) 373-1767
Mailing address
2460 TERRY RD, SUITE 800, JACKSON, MS 39204-5767
(601) 665-7256
(601) 373-1767
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
R854233
MS
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
R854233
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251290930A
BLUE CROSS BLUE SHIELD OF MISSISSIPPI
MS
01
—
30250I2670
MEDICARE PTAN#
MS
Enumeration date
12/26/2012
Last updated
06/26/2014
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