Organization
JUNIE BUGGIE PEDATRIC HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKLEN HARPER (MANGER)
(601) 813-1045
Entity
Organization
Contact information
Practice address
171 DOGWOOD CIR, BRANDON, MS 39047-6641
(601) 813-1045
(601) 398-3911
Mailing address
171 DOGWOOD CIR, BRANDON, MS 39047-6641
(601) 813-1045
(601) 398-3911
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160407001
—
MS
Enumeration date
04/13/2016
Last updated
03/14/2018
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