SearchMississippi101YM0800X

Chrisitan Ware

NPI 1245616556 · on the registry since 2015 · sole proprietor

Practice

Address
1465 Lakeland Dr
Jackson, MS 39216
Phone
(601) 352-7784
Fax
(601) 968-0021
Organisation at this address
Cares Center Inc
Ms Children'S Home Society
Mississippi Children'S Home Society
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2015-08-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi