NPI 1922384551

Mississippi State Department of Health

Organisation Public Health or Welfare Agency Southaven, MS

Practice location

Address: 8705 Northwest Dr Suite 1, Southaven, MS 38671-2430
Phone: (662) 393-2775
Mailing address: PO Box 1700, Jackson, MS 39215-1700

Authorised official

Name: Michael S Lucius
Title: Chief Administrative Officer
Phone: (601) 576-7853

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X

Other Public Health or Welfare providers in Mississippi →

Registry record

NPI: 1922384551
Entity type: Organization
NPI issued: 27 Oct 2011
Record last updated: 27 Oct 2011

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.