Annie Hobson Wellness Center LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ANNIE HOBSON WELLNESS CENTER LLC

Doing business as

McAfee Transport Service

Practice address

2941 Terry Rd
Suite 13
Jackson, MS 39212-3073

Phone

(601) 373-6419

Fax

(601) 373-3257

NPI assigned

Sep 8, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eddie McField Sr.

Title

Executive Director

Phone

(601) 373-6419

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• McAfee Transport Service Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114911765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 TERRY RD",
            "address_2": "SUITE 13",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123073",
            "telephone_number": "601-373-6419",
            "fax_number": "601-373-3257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 TERRY RD",
            "address_2": "SUITE 13",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392123073",
            "telephone_number": "601-373-6419",
            "fax_number": "601-373-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE HOBSON WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCFIELD",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-373-6419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07308500",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08108331",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McAfee Transport Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Giomary Dulcinea Anuel Martinez, MD

• Specialist in Jackson, MS
• Providers in Jackson, MS by specialty
• Specialist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.