Organization
MISSISSIPPI STAFF HEALING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN J MILLS M.D. (SOLE MEMBER)
(601) 835-6749
Entity
Organization
Contact information
Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 835-9444
(601) 833-5210
Mailing address
760 SIDNEY TRL SE, BOGUE CHITTO, MS 39629-9705
(601) 835-6749
(601) 833-1633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10780
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0115587
—
MS
Enumeration date
08/01/2011
Last updated
08/01/2011
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