NPI 1487432852

Mississippi Urology Clinic, PLLC

Organisation Non-Pharmacy Dispensing Site Flowood, MS

Practice location

Address: 1040 River Oaks Dr STE 202, Flowood, MS 39232-9534
Phone: (601) 353-9900
Fax: (601) 414-5381
Mailing address: 501 Marshall St STE 301, Jackson, MS 39202-1687

Authorised official

Name: Harold Jason Blalock
Title: President
Phone: (601) 353-9900

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1487432852
Entity type: Organization
NPI issued: 18 Sep 2023
Record last updated: 18 Sep 2023

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.