Organization
E -HEALTH VENTURES, LLC
Active
Other names
Medical Spark
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHIP SLACK (CEO)
(601) 594-7107
Entity
Organization
Contact information
Practice address
2906 N STATE ST, JACKSON, MS 39216-4233
(601) 594-7107
Mailing address
2906 N STATE ST, JACKSON, MS 39216-4233
(601) 594-7107
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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