Psp Medical Clinic

NPI 1245502723 - Clinic/Center - 261QP2300X

NPI Details
NPI 1245502723
Enumeration Date 01/31/2012
Last Updated 06/11/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PARVESH K. PARVESH
Position MD
Phone (601) 420-4300
Fax (601) 420-4310
Practice Location
544 KEYWAY DRIVE
FLOWOOD MS, 39232, US
Phone (601) 420-4300
Fax (601) 420-4310
Business Location
PO BOX 607
CANTON MS, 39046, US
Phone (601) 859-9888
Fax (601) 859-9966
Toxanomy
Taxonomy Code 261QP2300X
License State Mississippi
License Number 15405
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According to our database, Psp Medical Clinic NPI is 1245502723, taxonomy code is 261QP2300X and license number is 15405, license state is located at Mississippi. Psp Medical Clinic physically located at 544 Keyway Drive, Flowood MS, 39232. NPI Number 1033115704 has the healthcare provider type.

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1245502723 NPI number is provided on an as is basis without warranty of any kind. 1245502723 is maintained by the National Plan & Provider Enumeration System. The contents of Psp Medical Clinic are for informational purposes only.