Organization
MS WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAS HEATH III MD (MANAGING PHYSICIAN)
(601) 936-6001
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 936-6001
(601) 933-4389
Mailing address
PO BOX 23757, JACKSON, MS 39225-3757
(601) 936-6001
(601) 936-4389
Taxonomy
Speciality
Code
Description
License number
State
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015324
—
MS
Enumeration date
10/04/2006
Last updated
08/22/2020
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