Organization
NAPDOCS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PRUITT (PRACTICE ADMINISTRATOR)
(601) 981-9503
Entity
Organization
Contact information
Practice address
401 BAPTIST DR, SUITE 40, MADISON, MS 39110-2009
(601) 362-3590
(601) 362-3598
Mailing address
401 BAPTIST DR, SUITE 401, MADISON, MS 39110-2009
(601) 362-3590
(601) 362-3598
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
07/28/2008
Last updated
10/01/2008
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