Organization
LICE CLINICS OF AMERICAN - CENTRAL MISSISSIPPI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTY SMALLING (OWNER)
(601) 707-5712
Entity
Organization
Contact information
Practice address
655 LAKE HARBOUR DR, SUITE 400, RIDGELAND, MS 39157-4355
(601) 707-5712
Mailing address
PO BOX 2053, MADISON, MS 39130-2053
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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