Organization
MISSING PEACE ENTERPRISE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE THOMAS-POLK (PRESIDENT)
(228) 366-0405
Entity
Organization
Contact information
Practice address
4901 MORRIS ST STE 102, MOSS POINT, MS 39563-2850
(220) 366-0405
Mailing address
4901 MORRIS ST STE 102, MOSS POINT, MS 39563-2850
(220) 366-0405
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
Update your record
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