Organization
MISSISSIPPI CHILDRENS HEART CLINIC PLLC
Active
Organization
MISSISSIPPI CHILDRENS HEART CLINIC PLLC
Active
Other names
MS Children's Heart
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PURVIS OFFICE MANAGER (OFFICE MANAGER)
(601) 965-6100
Entity
Organization
Contact information
Practice address
1190 N STATE ST STE 200, JACKSON, MS 39202-2413
(601) 965-6100
Mailing address
PO BOX 22646, JACKSON, MS 39225-2646
(601) 944-1717
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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