Organization
MSH PSYCHIATRIC PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE KING (PROVIDER ENROLLMENT)
(601) 351-8000
Entity
Organization
Contact information
Practice address
3550 HIGHWAY 468 W, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8586
Mailing address
3550 HIGHWAY 468 W, P O BOX 157-A, WHITFIELD, MS 39193-5529
(601) 351-8000
(601) 351-8586
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
31-139
MS
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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