Organization
MISSISSIPPI MEDICAL RESEARCH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD HAIDAR MD (OWNER)
(601) 749-3549
Entity
Organization
Contact information
Practice address
1016 SIXTH AVE STE B, PICAYUNE, MS 39466-3861
(601) 749-3549
(601) 749-3448
Mailing address
1016 SIXTH AVE STE B, PICAYUNE, MS 39466-3861
(601) 749-3549
(601) 749-3448
Taxonomy
Speciality
Code
Description
License number
State
261QR1100X
Research Clinic/Center
Primary
13678
MS
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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