Mississippi Em-I Medical Services
Physician Assistant in Jackson, MS. Organization (NPI-2).
NPI number1760633309
StatusActive
Last updated in NPPESOct 1, 2008
Details
- NPI
- 1760633309
- Entity type
- Organization (NPI-2)
- Legal business name
- Mississippi Em-I Medical Services
- Organization subpart
- No
- Enumeration date
- Oct 1, 2008
- Last updated
- Oct 1, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – |
Practice location
1030 River Oaks DrJackson, MS 39232-9553
Phone 601-963-1098
Mailing address
18167 Us Highway 19 NSte 650
Clearwater, FL 33764-3528
Authorized official
Gregory J Byrne
President
2147122000
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