Organization
ADVANCE MEDICAL HOUSE CALLS
Active
Other names
Advance Medical House Calls & Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TYE ROLLINS (MANAGER)
(601) 397-4079
Entity
Organization
Contact information
Practice address
299 HIGHWAY 51 STE F1, RIDGELAND, MS 39157-3424
(601) 397-4079
(601) 398-2149
Mailing address
PO BOX 1404, RIDGELAND, MS 39158-1404
(601) 397-4079
(601) 398-2149
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
08/17/2018
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