Organization
REGION TEN STATE OF MS
Active
Parent organization
REGION TEN STATE OF MISSISSIPPI
Other names
Weems Mental Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGION TEN STATE OF MISSISSIPPI
Authorized official
LORI WALTON (BUSINESS OFFICE MANAGER)
(601) 483-4821
Entity
Organization
Contact information
Practice address
1415 COLLEGE DRIVE, MERIDIAN, MS 39307
(601) 483-4821
Mailing address
1415 COLLEGE DRIVE, MERIDIAN, MS 39307
(601) 483-4821
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018210
—
MS
Enumeration date
08/27/2012
Last updated
03/29/2013
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