Ellisville State School
Ellisville State School is a Clinic/Center in Ellisville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2005.
- Licensed in
- MS
- In the registry since
- 2005
Practice location Address checks out
1101 Hwy 11 SEllisville, MS 39437-4444
Phone: (601) 477-9384
Fax: (601) 477-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence C00638 (MS) |
|---|
Record details
| NPI number | 1568468080 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Suzie Lassiter — Director · (601) 477-9384 |
| NPI enumerated | June 21, 2005 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 1101 Hwy 11 S, Ellisville, MS 39437-4444 |
Other providers in Ellisville
-
Shaffer Eye Clinic
5203 Highway 11 N, Ellisville, MS 39437-5001 · (601) 428-4420