Organization
MS METHODIST HOSPITAL & REHABILITATION CENTER
Active
Other names
Methodist Rehab Ceter
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ARMSTRONG (EXEC VICE PRESIDENT)
(601) 981-2611
Entity
Organization
Contact information
Practice address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(601) 981-2611
Mailing address
1350 E WOODROW WILSON AVE, JACKSON, MS 39216-5112
(601) 981-2611
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
43-278
MS
207RC0000X
Cardiovascular Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03432351
—
MS
05
—
09013914
—
MS
05
—
09015759
—
MS
Enumeration date
02/02/2007
Last updated
04/21/2010
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