# CAPITAL CITY ENDOCRINE CLINIC LLC

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

## Provider details

- **NPI number:** 1255084398
- **Authorized official:** JULIETTE SANDIFER KUM-NJI MD (OWNER)
- **Authorized official phone:** (601) 895-0000

## Contact information

- **Practice address:** 4755 I 55 N, JACKSON, MS 39206-5602
- **Practice address phone:** (601) 895-0000
- **Practice address fax:** (601) 895-0001
- **Mailing address:** 4755 I 55 N, JACKSON, MS 39206
- **Mailing address phone:** (601) 895-0000
- **Mailing address fax:** (601) 895-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2022
- **Last updated:** 06/08/2023