Organization
ARTHRITIS, OSTEOPOROSIS TREATMENT AND RESEARCH CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FREDA JENKINS (OFFICE MANAGER)
(601) 420-0034
Entity
Organization
Contact information
Practice address
2550 FLOWOOD DR STE 300, FLOWOOD, MS 39232-9306
(601) 420-0034
(601) 420-5482
Mailing address
2550 FLOWOOD DR STE 300, FLOWOOD, MS 39232-9306
(601) 420-0034
(601) 420-5482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660002223
MEDICARE RR PTAN
—
01
—
CK7048
MEDICARE RAILROAD
MS
Enumeration date
02/08/2007
Last updated
12/18/2012
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