Organization
CONVERGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE BARDWELL (CO-DIRECTOR)
(601) 500-2681
Entity
Organization
Contact information
Practice address
715 S PEAR ORCHARD RD STE 402, RIDGELAND, MS 39157-4809
(601) 500-2681
Mailing address
715 S PEAR ORCHARD RD STE 402, RIDGELAND, MS 39157-4809
(601) 500-2681
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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