NPI 1457535056

Utilization Management

Organisation Exclusive Provider Organization Ridgeland, MS

Practice location

Address: 576 Highland Colony Pkwy Suite 300, Ridgeland, MS 39157-8769
Phone: (601) 605-2023
Mailing address: PO Box 1859, Ridgeland, MS 39158-1859

Authorised official

Name: Cherry Roberts
Title: Director, Managed Care
Phone: (601) 605-2023

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 9923719 (MS)

Other Exclusive Provider Organization providers in Mississippi →

Registry record

NPI: 1457535056
Entity type: Organization
NPI issued: 19 Dec 2007
Record last updated: 19 Dec 2007

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.