Organization
MISSISSIPPI STATE DEPARTMENT OF HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL ADCOCK (CHIEF OPERATIONS OFFICER)
(601) 576-7635
Entity
Organization
Contact information
Practice address
570 E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 576-7566
Mailing address
PO BOX 1700, JACKSON, MS 39215-1700
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014830
MS ST DEPT OF HTH
MS
Enumeration date
02/02/2007
Last updated
06/02/2008
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