NCC

NPI: 1376195727 · Organization · Active

Primary Specialty

Clinic/Center

Practice Location

2416 SOUTHERLAND DRIVE
JACKSON, MS 39216-3762 Map ↗
Phone: 601-683-3200

All Specialties & Licenses

  • Clinic/Center Primary
  • Rural Health Clinic/Center — Rural Health

NPI Registration

Enumerated: 2019-07-15

Last CMS Update: 2021-07-01