Organization
KING'S DAUGHTERS MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT CHRISTENSEN (CEO)
(601) 835-9488
Entity
Organization
Contact information
Practice address
427 HIGHWAY 51 N, BROOKHAVEN, MS 39601-2350
(601) 833-6011
(601) 833-8742
Mailing address
PO BOX 5440, BROOKHAVEN, MS 39603-5440
(601) 833-6011
(601) 833-8742
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00050215
—
MS
Enumeration date
03/09/2007
Last updated
03/27/2023
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