Provider First Line Business Practice Location Address:
2500 N. STATE ST.
Provider Second Line Business Practice Location Address:
DEPT. OF PSYCHIATRY AND HUMAN BEHAVIOR (H808)
Provider Business Practice Location Address City Name:
JACKSON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-815-6337
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2019