Hands of Goddess

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

R603643 Issued in MS

Legal business name

HANDS OF GODDESS

Practice address

208 E Georgetown St
Crystal Springs, MS 39059-2517

Phone

(601) 308-5150

Fax

(601) 308-5157

NPI assigned

Jul 15, 2015

Organization subpart

No

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

Authorized official

Name

Jekory Juante Jefferson

Title

President/Ceo

Phone

(601) 316-0156

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1235513714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E GEORGETOWN ST",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592517",
            "telephone_number": "601-308-5150",
            "fax_number": "601-308-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E GEORGETOWN ST",
            "city": "CRYSTAL SPRINGS",
            "state": "MS",
            "postal_code": "390592517",
            "telephone_number": "601-308-5150",
            "fax_number": "601-308-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF GODDESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "JEKORY",
        "authorized_official_middle_name": "JUANTE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "601-316-0156"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "MS",
            "license": "R603643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Crystal Springs, MS
• Providers in Crystal Springs, MS by specialty
• Point of Service in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.