Mississippi Breast Center Pllc

LBN: Mississippi Breast Center Pllc
Mississippi Breast Center Pllc is an health care organization with primary practice located at 1030 N Flowood Dr Suite C, Flowood MS 39232-9532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Mississippi Breast Center Pllc can be contacted via phone (601) 932-7465, or through Hickman, Terry via phone (601) 948-1411.

Contact Information

Primary practice address
1030 N Flowood Dr Suite C Flowood MS 39232-9532
Phone: (601) 932-7465
Fax: (601) 932-7425
Website:
Map and Directions
Authorized official contact:
Name: Hickman, Terry CPA
Phone: (601) 948-1411

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1740318666
LBN Legal business name Mississippi Breast Center Pllc
DBA Doing business as
Authorized official Hickman, Terry CPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Jun 18th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740318666 NPPES
Mississippi MEDICAID 09012031

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