Organization
BRANDYWINE HEALTH SERVICES OF MISSISSIPPI, INC
Active
Other names
Mathiston Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RAY SHOEMAKER (CEO)
(662) 285-6235
Entity
Organization
Contact information
Practice address
24224 MS HIGHWAY 15, MATHISTON, MS 39752-6876
(662) 263-5700
(662) 263-5785
Mailing address
PO BOX 1039, ACKERMAN, MS 39735-1039
(662) 285-6235
(662) 285-2516
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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