Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2021-05-13
- Last updated
- 2026-02-05
Licenses
The registry row did not include a license.
Location
- Practice location
- 5976 US HIGHWAY 11
- City
- PURVIS MS
- Postal code
- 394755066
- Phone
- 601-794-3302
Organization contact
- Name
- JANICE ROBINSON
- Title
- CEO
- Phone
- 6015458700
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.