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Baptist Pt - Madison

Physical Therapist in Madison, MS. Organization (NPI-2).

NPI number1982988812
StatusActive
Last updated in NPPESDec 4, 2015

Details

NPI
1982988812
Entity type
Organization (NPI-2)
Legal business name
Baptist Pt - Madison
Organization subpart
No
Enumeration date
Oct 11, 2011
Last updated
Dec 4, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

401 Baptist Dr
Suite 306
Madison, MS 39110-2009

Phone 601-607-7204 · Fax 601-607-7430

Mailing address

401 Baptist Dr
Suite 306
Madison, MS 39110-2009

Phone 601-607-7204 · Fax 601-607-7430

Authorized official

Amy Grissett
Billing Manager
6019441717

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