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Ambulatory Health Care Facilities Clinic/Center Infusion Therapy

Provider NPI: 1740646967

Organization Information:
Organization is not Subpart
Authorized Official:  CHRISTOPHER DAVID JONES  PRESIDENT  662-554-2955

Practice Location:
Tel: 662-554-2955  Fax: 662-728-3181

Business Mailing Address:
PO BOX 250  BOONEVILLE, MS 38829-0250 US
Tel: 662-554-2955  Fax: 662-728-3181

NPI Information:
NPI: 1740646967
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y261QI0500XAmbulatory Health Care Facilities
Infusion Therapy

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 261QI0500X





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