Organization
JEFFERSON NEUROLOGY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AREMMIA TANIOUS (OWNER)
(601) 426-2140
Entity
Organization
Contact information
Practice address
319 S 13TH AVE, LAUREL, MS 39440-4342
(601) 649-2863
Mailing address
319 S 13TH AVE, LAUREL, MS 39440-4342
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2017
Last updated
01/27/2024
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