Organization
HOSPITALMD OF MS IP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BURNETTE JAMES (CEO)
(706) 276-4741
Entity
Organization
Contact information
Practice address
1002 E MADISON ST, HOUSTON, MS 38851-2428
(662) 456-4277
Mailing address
1002 E MADISON ST, HOUSTON, MS 38851-2428
(662) 456-4277
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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