Organization
SOUTH PIKE SCHOOL DISTRICT
Active
Other names
Eva Gordon Kids Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL GUNNELL (DISTRICT SUPERINTENDENT)
(601) 783-3742
Entity
Organization
Contact information
Practice address
1175 NORTH CLARK ST, MAGNOLIA, MS 39652
(601) 783-5983
(601) 783-2055
Mailing address
1175 NORTH CLARK ST, MAGNOLIA, MS 39652
(601) 783-5983
(601) 783-2055
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R869794
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03489201
—
MS
Enumeration date
05/03/2007
Last updated
08/22/2020
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