Organization
OPTIMUM HEALTH INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WHITE MD (OWNER)
(601) 366-7447
Entity
Organization
Contact information
Practice address
6501 DOGWOOD VIEW PKWY, JACKSON, MS 39213-7857
(601) 366-7447
(601) 366-7427
Mailing address
6501 DOGWOOD VIEW PKWY, JACKSON, MS 39213-7857
(601) 366-7447
(601) 366-7427
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05638837
—
MS
Enumeration date
03/07/2007
Last updated
08/22/2020
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