MOONEYHAM PROPERTIES is a clinic center in Brandon, MS. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MOONEYHAM PROPERTIES NPI is 1184913014. The provider is registered as an organization entity type.
The provider Is Doing Business As 4 The Family Healthcare.
The provider's business location address is:
1127 OLD FANNIN RD
C
BRANDON, MS
ZIP 39047-265
Phone: (601) 214-4420
The provider's authorized official is Jennifer Wedgeworth Mooneyham .
The authorized official title is Provider/owner and has the following contact phone number (601) 214-4420.
The CLIA number assigned to this NPI record is 25D2022088 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/31/2011 and was last updated on 3/31/2011.