Mississippi State Department of Health

Practice location

Address

309 Park Dr, Canton, MS 39046-3789

Phone

(601) 859-3316

Fax

(601) 859-0324

Mailing address

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

Authorised official

Name

Mitchell Adcock

Title

Chief Administrative Officer

Phone

(601) 576-7635

Registered specialties

Registry record

NPI

1154731511

Entity type

Organization

NPI issued

6 May 2014

Record last updated

6 May 2014

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.