NPI 1477964047

Mississippi State Department of Health

Organisation Public Health or Welfare Agency Fayette, MS

Practice location

Address: 700 Main St, Fayette, MS 39069-5698
Phone: (601) 786-3061
Fax: (601) 786-3380
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

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Mississippi →

Registry record

NPI: 1477964047
Entity type: Organization
NPI issued: 16 May 2014
Record last updated: 16 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.