Organization
METROPLEX CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE M HARRELL (OWNER)
(601) 583-3387
Entity
Organization
Contact information
Practice address
312 GREEN ST, HATTIESBURG, MS 39401-3758
(601) 583-3387
Mailing address
312 GREEN ST, HATTIESBURG, MS 39401-3758
(601) 583-3387
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00230284
—
MS
Enumeration date
04/11/2012
Last updated
04/11/2012
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