Madison Ridgeland Children'S Clinic
Specialist in Ridgeland, MS. Organization (NPI-2).
NPI number1346351715
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1346351715
- Entity type
- Organization (NPI-2)
- Legal business name
- Madison Ridgeland Children'S Clinic
- Organization subpart
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
297 Highway 51Suite B
Ridgeland, MS 39157-3423
Phone 601-856-2598 · Fax 601-856-4459
Mailing address
297 Highway 51Suite B
Ridgeland, MS 39157-3423
Phone 601-856-2598 · Fax 601-856-4459
Authorized official
Sara R Parker
Office Manager
6018562598
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All 13 Specialist providers in Ridgeland · All 1,643 providers in Ridgeland
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