Basic Information
| Provider Information | |||||||||
| NPI: | 1194978080 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RIVER OAKS MANAGEMENT COMPANY INC | ||||||||
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| OtherOrganizationName: | CENTRAL MS BONE DENSITY & JOINT SPECIALISTS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2550 FLOWOOD DR | ||||||||
| Address2: | SUITE 402 | ||||||||
| City: | FLOWOOD | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392329303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019363100 | ||||||||
| FaxNumber: | 6019363130 | ||||||||
| Practice Location | |||||||||
| Address1: | 1860 CHADWICK DR | ||||||||
| Address2: | SUITE 105 | ||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392043463 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6013762818 | ||||||||
| FaxNumber: | 6013762831 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/23/2008 | ||||||||
| LastUpdateDate: | 10/23/2008 | ||||||||
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| AuthorizedOfficialLastName: | SATCHER | ||||||||
| AuthorizedOfficialFirstName: | LATOYA | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 6019363121 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 17800 | MS | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.