Organization
MEDICAL ASSURANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HATTIE ARMSTRONG (CONTROLLER)
(601) 899-3320
Entity
Organization
Contact information
Practice address
5903 RIDGEWOOD RD, SUITE 320, JACKSON, MS 39211-3700
(601) 899-3320
(601) 899-3325
Mailing address
5903 RIDGEWOOD RD, SUITE 320, JACKSON, MS 39211-3700
(601) 899-3320
(601) 899-3325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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