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Organization

MISSISSIPPI STATE DEPARTMENT OF HEALTH

Active
Other names
Sharkey/Issaquena County Health Department
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MITCHELL ADCOCK CAO (CHIEF ADMINISTRATIVE OFFICER)
(601) 576-7635
Entity
Organization

Contact information

Practice address
297 W RACE ST, ROLLING FORK, MS 39159-2621
(662) 873-6202
(662) 873-6929
Mailing address
570 E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 576-7635

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
05/06/2014
Last updated
05/06/2014
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