Organization
ANNIE HOBSON WELLNESS CENTER LLC
Active
Other names
McAfee Transport Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE MCFIELD SR. (EXECUTIVE DIRECTOR)
(601) 373-6419
Entity
Organization
Contact information
Practice address
2941 TERRY RD, SUITE 13, JACKSON, MS 39212-3073
(601) 373-6419
(601) 373-3257
Mailing address
2941 TERRY RD, SUITE 13, JACKSON, MS 39212-3073
(601) 373-6419
(601) 373-3257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07308500
—
MS
05
—
08108331
—
MS
Enumeration date
09/08/2005
Last updated
08/22/2020
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