Dr. Jack Q Causey II, MD
Pathology, Anatomic Pathology & Clinical Pathology in Gulfport, MS. Individual provider (NPI-1).
NPI number1790777142
StatusActive
Last updated in NPPESNov 7, 2007
Details
- NPI
- 1790777142
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jack Q Causey II
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2005
- Last updated
- Nov 7, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 11872 | MS | Yes |
| 174400000X | Specialist | 11872 | MS |
Practice location
4500 13th StGulfport, MS 39501-2515
Phone 228-867-4000 · Fax 228-575-2380
Mailing address
19648 Champion CirGulfport, MS 39503-7668
Phone 601-865-3653 · Fax 228-575-2380
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Anatomic Pathology & Clinical Pathology Physician providers in Gulfport, MS
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.