Organization
PETAL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES HUTTO (SUPERINTENDENT)
(601) 545-3002
Entity
Organization
Contact information
Practice address
115 HIGHWAY 42, PETAL, MS 39465-2808
(601) 545-3002
Mailing address
PO BOX 523, PETAL, MS 39465-0523
(601) 545-3002
(601) 583-0150
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R510955
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01606558
—
MS
Enumeration date
02/11/2008
Last updated
02/11/2008
Update your record
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