Organization
JACKSON HMA LLC
Active
Other names
CMMC WOUND MANAGEMENT
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SWAW (DIRECTOR)
(615) 778-8076
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2561
(601) 376-2570
Mailing address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-2561
(601) 376-2570
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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