Organization
TREESAP CLINIC, INC.
Active
Organization
TREESAP CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W. TAYLOR (OWNER)
(662) 223-0063
Entity
Organization
Contact information
Practice address
28301 HIGHWAY 15, WALNUT, MS 38683-9753
(662) 223-0063
(662) 223-0079
Mailing address
28301 HIGHWAY 15, WALNUT, MS 38683-9753
(662) 223-0063
(662) 223-0079
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R732656
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03333061
—
MS
01
—
1265451991
INDIVIDUAL NPI
MS
Enumeration date
11/15/2007
Last updated
11/20/2015
Update your record
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