Organization
SOUTHERN MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALLORY ELYSE MOWDY FNP-C (FNP-C)
(601) 730-0602
Entity
Organization
Contact information
Practice address
186 BURRIS RD SE, MC CALL CREEK, MS 39647-5295
(601) 730-0602
Mailing address
186 BURRIS RD SE, MC CALL CREEK, MS 39647-5295
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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