Organization
ELEMENTS MEDICAL GROUP OF MISSISSIPPI INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MAPLESDEN (SR DIRECTOR RCM)
(615) 540-3708
Entity
Organization
Contact information
Practice address
3949 HIGHWAY 43 N, BRANDON, MS 39047-7240
(601) 829-2500
(601) 829-4278
Mailing address
PO BOX 671673, DALLAS, TX 75267-1673
(562) 303-9718
(562) 264-1219
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
7875
MS
2084P0800X
Psychiatry Physician
—
MS
363LF0000X
Family Nurse Practitioner
862194
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
850823
MS
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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