Provider First Line Business Practice Location Address:
NAVAL BRANCH HEALTH CLINIC
Provider Second Line Business Practice Location Address:
1801 FULLER RD STE A-01
Provider Business Practice Location Address City Name:
MERIDIAN
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39309-5106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-679-2383
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/17/2006