University Of Mississippi Medical Center

NPI 1043549280 - Psychologist - 103T00000X

NPI Details
NPI 1043549280
Enumeration Date 12/17/2009
Last Updated 10/25/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KEITH KEITH
Position CEO FOR UNIVERSITY PHYSICIAN
Phone (601) 984-5957
Fax
Practice Location
2500 N STATE ST # H819-01
JACKSON MS, 39216-4500, US
Phone (601) 984-5957
Fax
Business Location
2500 N STATE ST
JACKSON MS, 39216-4500, US
Phone (601) 984-5957
Fax
Toxanomy
Taxonomy Code 103T00000X
License State California
License Number 22061
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According to our database, University Of Mississippi Medical Center NPI is 1043549280, taxonomy code is 103T00000X and license number is 22061, license state is located at California. University Of Mississippi Medical Center physically located at 2500 N State St # H819-01, Jackson MS, 39216-4500. NPI Number 1033115704 has the healthcare provider type.

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1043549280 NPI number is provided on an as is basis without warranty of any kind. 1043549280 is maintained by the National Plan & Provider Enumeration System. The contents of University Of Mississippi Medical Center are for informational purposes only.