Individual
HEALY VISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5012
Mailing address
3545 EDMAR PL, JACKSON, MS 39216-3515
(601) 720-8868
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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