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ANNIE HOBSON WELLNESS CENTER LLC NPI 1114911765


NPI Information

NPI: 1114911765
Provider Name: ANNIE HOBSON WELLNESS CENTER LLC

Doing Business As: MCAFEE TRANSPORT SERVICE

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2941 TERRY RD
SUITE 13
JACKSON, MS
ZIP 39212
Phone: (601) 373-6419
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ANNIE HOBSON WELLNESS CENTER LLC is a specialist in Jackson, MS. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANNIE HOBSON WELLNESS CENTER LLC NPI is 1114911765. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mcafee Transport Service.

The provider's business location address is:

2941 TERRY RD
SUITE 13
JACKSON, MS
ZIP 39212-073
Phone: (601) 373-6419
Fax: (601) 373-3257

The provider's authorized official is Eddie Mcfield .
The authorized official title is Executive Director and has the following contact phone number (601) 373-6419.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
107308500MEDICAIDMISSISSIPPI
208108331MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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