Provider First Line Business Practice Location Address:
161 RIVER OAKS DRIVE
Provider Second Line Business Practice Location Address:
MADISON RIVER OAKS MEDICAL CENTER
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
39046
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
601-855-4000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/19/2009