State Of Mississippi University Of Mississippi Medical Center
Specialty details in registry · Jackson, MS
At a glance
350 W Woodrow Wilson Ave, Jackson, MS 39213-7681
NPPES record updated Dec 19, 2012. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
350 W Woodrow Wilson Ave 501Jackson, MS 39213-7681
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 333600000X
- Enumeration date
- Feb 16, 2007
- Record updated
- Dec 19, 2012
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Specialty details in registry
333600000X · Primary
License reported: 06430 MS
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
350 W Woodrow Wilson Ave501
Jackson, MS 39213-7681
- Phone
- (601) 815-3857
- Fax
- (601) 815-8901
Mailing address
350 W WOODROW WILSON AVE501
JACKSON, MS 392137681
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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