Provider First Line Business Practice Location Address:
EMPLOYEE HEALTH SERVICE, V. B. HARRISON BUILDING
Provider Second Line Business Practice Location Address:
REBEL DRIVE
Provider Business Practice Location Address City Name:
UNIVERSITY
Provider Business Practice Location Address State Name:
MS
Provider Business Practice Location Address Postal Code:
38677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
662-915-6550
Provider Business Practice Location Address Fax Number:
662-915-2022
Provider Enumeration Date:
08/15/2006