Hillside

Practice location

Address

1101 Highway 11 S, Ellisville, MS 39437-4443

Phone

(601) 477-9384

Fax

(601) 477-5700

Authorised official

Name

Suzie Lassiter

Title

Director of Facility

Phone

(601) 477-9384

Registered specialties

Registry record

NPI

1306914700

Entity type

Organization

NPI issued

1 Dec 2006

Record last updated

22 Aug 2020

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.