Provider First Line Business Practice Location Address:
RUSH CENTRAL CLINIC
Provider Second Line Business Practice Location Address:
1221 24TH AVENUE
Provider Business Practice Location Address City Name:
MERIDIAN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39301-3926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-486-4210
Provider Business Practice Location Address Fax Number:
601-486-4219
Provider Enumeration Date:
03/26/2020