Contract Details
Facility name
TherapySouth
Provider ID
P000000001
NPI
1982421780
Tax ID
993628934
Effective Date
10/28/2024
Last Updated
11/15/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
500 Highway 51 Suite A
Ridgeland, MS 39157
United States
Phone
601-769-2990 (Phone)
Billing Details
Address
500 Highway 51
Suite A
Ridgeland, MS 39157
Billing Phone
601-769-2990
Specialty Type
Physical Therapy
Website
Visit Website
Map
Address