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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