Organization
MADISON HEALTHPLEX AND SPORTS PERFORMANCE CENTER LLC
Active
Other names
Madison Healthplex Performance Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREG CENTILLI (EXECUTIVE DIRECTOR)
(601) 856-7757
Entity
Organization
Contact information
Practice address
501 BAPTIST DR, MADISON, MS 39110-2030
(601) 856-7757
(601) 944-9780
Mailing address
501 BAPTIST DR, MADISON, MS 39110-2030
(601) 856-7757
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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