Mississippi State Department Of Health

Specialty details in registry · Booneville, MS

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At a glance

615 E Parker Dr, Booneville, MS 38829-5519

NPPES record updated May 5, 2014. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

615 E Parker Dr
Booneville, MS 38829-5519
Professional details: NPI, taxonomy & registry record
NPI1730599325
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251K00000X
Enumeration date
May 5, 2014
Record updated
May 5, 2014
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251K00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

615 E Parker Dr
Booneville, MS 38829-5519
Phone
(662) 728-3518
Fax
(662) 728-2005
Mailing address
570 E WOODROW WILSON AVE

JACKSON, MS 392164538
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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