NPI 1104318286 · live from the CMS NPI Registry
Advance Medical House Calls
Family Medicine in Ridgeland, MS. National Provider Identifier 1104318286, active.
NPI record
| NPI | 1104318286 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 299 Highway 51 Ste F1, Ridgeland, MS 39157 |
| Practice phone | 601-397-4079 |
| Mailing address | Po Box 1404, Ridgeland, MS 39158 |
| Enumerated | June 4, 2018 |
| Last updated | August 17, 2018 |
| Authorized official | Tye Rollins, Manager |
| Other names | Advance Medical House Calls & Family Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.