CORRECTIONAL MEDICINE ASSOCIATES, PC; NPI #1770814022

Contact Information

CORRECTIONAL MEDICINE ASSOCIATES, PC

2999 US HIGHWAY 61 N
WOODVILLE, MS 39669-7000

Phone: 601-888-3199
Fax: 601-888-4567
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for CORRECTIONAL MEDICINE ASSOCIATES, PC

NPI # 1770814022

LBN Legal business name CORRECTIONAL MEDICINE ASSOCIATES, PC

Authorized official WILLIAM ANDRADE - (PRESIDENT/CHIEF MEDICAL OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/27/2010

Last updated 01/27/2010 - About 16 years ago

Identifiers

License #

R749475

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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