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Organization
G. V. SONNY MONTGOMERY VA MEDICAL CENTER
Active
Organization
G. V. SONNY MONTGOMERY VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREE BURNETT M.D. (CHIEF OF PRIMARY CARE SERVICES)
(601) 362-4471
Entity
Organization
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
901359
MS
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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