Organization
JJL CARE CENTER OF MISSISSIPPI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES N CRENSHAW M.D. (OWNER)
(601) 454-8311
Entity
Organization
Contact information
Practice address
4209 LAKELAND DR STE 374, FLOWOOD, MS 39232-9212
(601) 454-8311
Mailing address
4209 LAKELAND DR STE 374, FLOWOOD, MS 39232-9212
(601) 454-8311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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