Organization · NPI-2
Ch Mssp Services Ms LLC
Internal Medicine · Flowood, MS
NPI number1194565051
StatusActive
Last updated in NPPESMay 23, 2025
Details
- NPI
- 1194565051
- Entity type
- Organization (NPI-2)
- Legal business name
- Ch Mssp Services Ms LLC
- Organization subpart
- No
- Enumeration date
- May 29, 2024
- Certification date
- May 23, 2025
- Last updated
- May 23, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
232 Market StFlowood, MS 39232-3339
Phone 337-408-0797
Mailing address
5750 Johnston St Ste 205Lafayette, LA 70503-5334
Phone 337-408-0797
Authorized official
Nicole Howard
Svp Of Administrative Services
3374080797
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