Organization
GENESIS PT AND REHAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARGARET STEVENS JONES (ADMINISTRATOR)
(601) 898-4324
Entity
Organization
Contact information
Practice address
227 HWY 51, RIDGELAND, MS 39157-4425
(601) 898-4324
(601) 898-4325
Mailing address
227 HWY 51, RIDGELAND, MS 39157-4425
(601) 898-4324
(601) 898-4325
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
PT0695
MS
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3765
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410455061
BLUE CROSS STEGALL
MS
01
—
425069689F
BLUE CROSS TRUSSELL
MS
Enumeration date
02/19/2007
Last updated
05/02/2008
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