Healthcare Provider Details

I. General information

NPI: 1194978080
Provider Name (Legal Business Name): RIVER OAKS MANAGEMENT COMPANY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2008
Last Update Date: 10/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 CHADWICK DR SUITE 105
JACKSON MS
39204-3463
US

IV. Provider business mailing address

2550 FLOWOOD DR SUITE 402
FLOWOOD MS
39232-9303
US

V. Phone/Fax

Practice location:
  • Phone: 601-376-2818
  • Fax: 601-376-2831
Mailing address:
  • Phone: 601-936-3100
  • Fax: 601-936-3130

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number17800
License Number StateMS

VIII. Authorized Official

Name: MRS. LATOYA SATCHER
Title or Position: DIRECTOR
Credential:
Phone: 601-936-3121