Whalio Doctors

NPI 1548315203

Guardian Angel Healthcare II, INC.

Organisation Legal Medicine Raleigh, MS

Practice location

Address
347 Magnolia Dr, Raleigh, MS 39153-6011
Phone
(601) 782-9997
Fax
(601) 782-4918
Mailing address
41 S Hall Rd, Morton, MS 39117-8057

Authorised official

Name
Paulette Butler
Title
Administrator
Phone
(601) 732-8473

Registered specialties

Legal Medicine Primary
Other Service Providers Taxonomy 173000000X Licence 07565 (MS)

Registry record

NPI
1548315203
Entity type
Organization
NPI issued
24 Jan 2007
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.