Organization
MOONEYHAM PROPERTIES
Active
Other names
4 the Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER WEDGEWORTH MOONEYHAM FNP-BC (PROVIDER/OWNER)
(601) 214-4420
Entity
Organization
Contact information
Practice address
1127 OLD FANNIN RD, C, BRANDON, MS 39047-9265
(601) 214-4420
Mailing address
1127 OLD FANNIN RD, C, BRANDON, MS 39047-9265
(601) 214-4420
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MS845026
MS
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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