Organization
DRA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY GINES (OWNER)
(601) 955-5008
Entity
Organization
Contact information
Practice address
221 JACKS PL, BRANDON, MS 39047-4450
(601) 503-4432
Mailing address
248 WOODLAND BROOK DR, MADISON, MS 39110-7365
(601) 955-5008
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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