Organization
MISSISSIPPI MEDICAL RELIEF CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYCHELL THOMAS NURSE (DIRECTOR)
(769) 216-1047
Entity
Organization
Contact information
Practice address
4209 LAKELAND DR # 207, FLOWOOD, MS 39232-9212
(769) 216-1047
Mailing address
4209 LAKELAND DR # 207, FLOWOOD, MS 39232-9212
(769) 216-1047
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
P330299
MS
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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