Organization
PRECISE PSYCHOPHARMACOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A KWENTUS M.D. (OWNER)
(601) 420-5810
Entity
Organization
Contact information
Practice address
3531 LAKELAND DR, SUITE 1060, FLOWOOD, MS 39232-8049
(601) 420-5810
(601) 420-5811
Mailing address
3531 LAKELAND DR, SUITE 1060, FLOWOOD, MS 39232-8049
(601) 420-5810
(601) 420-5811
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17834
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02523719
—
MS
Enumeration date
02/04/2009
Last updated
02/04/2009
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