MISSISSIPPI STATE DEPARTMENT OF HEALTH NPI 1366853004

NPI Information

MISSISSIPPI STATE DEPARTMENT OF HEALTH is a public health or welfare in Jackson, MS. MISSISSIPPI STATE DEPARTMENT OF HEALTH NPI is 1366853004. The provider is registered as an organization entity type.
The provider Other Name Is South Jackson Wic Distribution.

The provider's business location address is:

3276 LYNCH ST
JACKSON, MS
ZIP 39209-205
Phone: (601) 969-5730
Fax: (601) 969-5729

The provider's authorized official is Mitchell Adcock .
The authorized official title is Chief Administrative Officer and has the following contact phone number (601) 576-7635.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 5/15/2014.

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:

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