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Organization

PEDIATRIC PLACE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARMEN M YOUNG (EXECUTIVE DIRECTOR)
(601) 613-4254
Entity
Organization

Contact information

Practice address
116 MARKETRIDGE DR, RIDGELAND, MS 39157-6009
(601) 613-4254
Mailing address
116 MARKETRIDGE DR, RIDGELAND, MS 39157-6009
(601) 613-4254

Taxonomy

Speciality
Code
Description
License number
State
261QM3000X
Medically Fragile Infants and Children Day Care
Primary

Other

Enumeration date
05/30/2023
Last updated
05/30/2023
About Stedi
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