Organization
TELEMEDICINE SERVICES OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WHITLEY (CHIEF FINANCIAL OFFICER)
(601) 543-2022
Entity
Organization
Contact information
Practice address
2355B RIVER OAKS BLVD, JACKSON, MS 39211-3015
(601) 543-2022
Mailing address
2355B RIVER OAKS BLVD, JACKSON, MS 39211-3015
(601) 543-2022
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
895073
MS
261QH0100X
Health Service Clinic/Center
895073
MS
363LF0000X
Family Nurse Practitioner
895073
MS
Other
Enumeration date
08/15/2016
Last updated
09/05/2016
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