Organization
MISSISSIPPI UROLOGY CLINIC, PLLC
Active
Parent organization
MISSISSIPPI UROLOGY CLINIC, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MISSISSIPPI UROLOGY CLINIC, PLLC
Authorized official
HAROLD JASON BLALOCK (PRESIDENT)
(601) 985-3169
Entity
Organization
Contact information
Practice address
1029 RIVER OAKS DR, FLOWOOD, MS 39232-9554
(601) 353-9900
(601) 353-3654
Mailing address
501 MARSHALL ST STE 301, JACKSON, MS 39202-1687
(601) 985-3169
(601) 353-3654
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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