Organization
MADISON COUNTY CITIZENS SERVICES AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY SIMS-JOHNSON (EXECUTIVE DIRECTOR)
(601) 391-1993
Entity
Organization
Contact information
Practice address
1005 W PEACE ST, CANTON, MS 39046-5378
(601) 391-1993
(601) 391-1997
Mailing address
PO BOX 1358, CANTON, MS 39046-1358
(601) 391-1993
(601) 391-1997
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
04/26/2018
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