Rush Medical Foundation

NPI 1164773438 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1164773438
Enumeration Date 09/27/2012
Last Updated 07/24/2015
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MORRIS (CHUCK) MORRIS (CHUCK)
Position PRESIDENT
Phone (601) 776-2123
Fax (601) 776-6006
Practice Location
603 S ARCHUSA AVE
QUITMAN MS, 39355-2331, US
Phone (601) 776-2123
Fax (601) 776-6006
Business Location
PO BOX 5208
MERIDIAN MS, 39302-5208, US
Phone (601) 703-4282
Fax (601) 703-4597
Toxanomy
Taxonomy Code 363LF0000X
License State
License Number
Remove 1164773438 NPI Number
 

According to our database, Rush Medical Foundation NPI is 1164773438, taxonomy code is 363LF0000X Rush Medical Foundation physically located at 603 S Archusa Ave, Quitman MS, 39355-2331. NPI Number 1033115704 has the healthcare provider type.

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1164773438 NPI number is provided on an as is basis without warranty of any kind. 1164773438 is maintained by the National Plan & Provider Enumeration System. The contents of Rush Medical Foundation are for informational purposes only.