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Mall Services, LLC

Family Medicine Physician in Jackson, MS · enumerated 2010 · authorized official Christal Rogers, Clinic Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1699005983

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Registry record

Entity type Organization (Type 2)
Legal business name Mall Services, LLC
Other name <Unavail>
Practice address 386 Raymond Rd, Building 30, Jackson, MS, 39204
Fax (601) 982-0459
Enumeration date Jan 8, 2010
Last updated in NPPES Jan 8, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Christal Rogers
Title Clinic Manager

Other identifiers

Identifier Type State Issuer
00122194 Medicaid MS -
00122254 Medicaid MS -
04135059 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-01-08. Verify at npiregistry.cms.hhs.gov.
Where is Mall Services, LLC located?
The practice location on file with NPPES is in Jackson, MS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-08.