National Provider Identifier Database

BAPTIST JACKSON HEART CARDIOLOGY CLINIC CRYSTAL SPRINGS
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

BAPTIST JACKSON HEART CARDIOLOGY CLINIC-CRYSTAL SPRINGS
123 BOBO DRIVE
CRYSTAL SPRINGS, MS39059
Phone: 601-292-4261
Fax: 601-944-9780
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for BAPTIST JACKSON HEART CARDIOLOGY CLINIC-CRYSTAL SPRINGS

NPI Number 1447510581
Legal business name
LBN
BAPTIST JACKSON HEART CARDIOLOGY CLINIC-CRYSTAL SPRINGS
Authorized official ELIZABETH MULLINS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/23/2012
Last updated 05/23/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for BAPTIST JACKSON HEART CARDIOLOGY CLINIC-CRYSTAL SPRINGS

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