Organization
MISSISSIPPI UROLOGY CLINIC, PLLC
Active
Other names
Mississippi Urology Clinic, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD JASON BLALOCK MD (PRESIDENT)
(601) 353-9900
Entity
Organization
Contact information
Practice address
1040 RIVER OAKS DR STE 202, FLOWOOD, MS 39232-9534
(601) 353-9900
(601) 414-5381
Mailing address
501 MARSHALL ST STE 301, JACKSON, MS 39202-1687
(601) 353-9900
(601) 353-3654
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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