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Central Ms Endocrinology

Internal Medicine, Endocrinology, Diabetes & Metabolism in Jackson, MS. Organization (NPI-2).

NPI number1053501643
StatusActive
Last updated in NPPESJul 30, 2007

Details

NPI
1053501643
Entity type
Organization (NPI-2)
Legal business name
Central Ms Endocrinology
Organization subpart
Yes
Enumeration date
Jul 30, 2007
Last updated
Jul 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism––Yes

Practice location

1860 Chadwick Dr
Suite 201
Jackson, MS 39204-3463

Phone 601-376-1208 · Fax 601-376-1209

Mailing address

1860 Chadwick Dr
Suite 201
Jackson, MS 39204-3463

Phone 601-376-1208 · Fax 601-376-1209

Authorized official

Brad Sinclair
Regional Manager
6019363102

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