Organization
MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA B CHRISTIAN R.N. (PRACTICE ADMINISTRATOR)
(662) 536-0900
Entity
Organization
Contact information
Practice address
391 SOUTHCREST CIR, SUITE 205, SOUTHAVEN, MS 38671-6730
(662) 536-0900
Mailing address
PO BOX 1107, SOUTHAVEN, MS 38671-0111
(662) 536-0900
(662) 536-0914
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
11962
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119607
—
MS
05
—
00574531
—
MS
Enumeration date
02/08/2007
Last updated
07/03/2013
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