# SPECTRUM ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215572581
- **Authorized official:** BECCA PEDRON (INSURANCE COORDINATOR)
- **Authorized official phone:** (601) 982-7827

## Contact information

- **Practice address:** 2510 LAKELAND TER, JACKSON, MS 39216-4702
- **Practice address phone:** (601) 982-7827
- **Practice address fax:** (601) 822-0303
- **Mailing address:** PO BOX 12347, JACKSON, MS 39236-2347
- **Mailing address phone:** (601) 982-7827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2019
- **Last updated:** 11/11/2019