Organization
HEALTH SERVICES OF SOUTH MISSISSIPPI LLC
Active
Other names
PICAYUNE HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON RISER (OWNER)
(601) 798-3989
Entity
Organization
Contact information
Practice address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-3989
(601) 798-3964
Mailing address
2274 HIGHWAY 43 S, PICAYUNE, MS 39466-8141
(601) 798-3989
(601) 798-3964
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014343
—
MS
Enumeration date
03/14/2007
Last updated
02/16/2010
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