Organization
CLAIBORNE COUNTY SCHOOL
Active
Other names
Port Gibson Middle School
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNIE KILCREASE PH D (SUPERINTENDENT OF EDUCATION)
(601) 437-4232
Entity
Organization
Contact information
Practice address
161 RAMSEY DR, PORT GIBSON, MS 39150-2531
(601) 437-4251
Mailing address
404 MARKET ST, PORT GIBSON, MS 39150-2025
(601) 437-4232
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
02382394
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382394
—
MS
Enumeration date
10/09/2009
Last updated
10/09/2009
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