Mississippi State Department of Health

Practice location

Address

8705 Northwest Dr Building A, Suite 1, Southaven, MS 38671-2430

Phone

(662) 393-2775

Fax

(662) 393-2819

Mailing address

570 E Woodrow Wilson Ave, Jackson, MS 39216-4538

Authorised official

Name

Daniel P Edney

Title

State Health Officer

Phone

(601) 576-7634

Registered specialties

Registry record

NPI

1003226903

Entity type

Organization

NPI issued

30 Apr 2014

Record last updated

28 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.