Organization
ALLIANCE HEALTH CENTER PHYCIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PATTERSON (CEO)
(601) 581-9906
Entity
Organization
Contact information
Practice address
5000 HWY 39 N, MERIDIAN, MS 39301-1021
(601) 581-9906
(601) 696-4898
Mailing address
5000 HWY 39 N, MERIDIAN, MS 39301-1021
(601) 581-9906
(601) 696-4898
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12-308
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073684940
MEDICARE PTAN-3021265595
MS
Enumeration date
02/29/2012
Last updated
02/29/2012
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