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Organization
JEFFERSON MEDICAL ASSOCIATES
Active
Organization
JEFFERSON MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HAMIL (CREDENTIALING COORDINATOR)
(601) 649-2863
Entity
Organization
Contact information
Practice address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
(601) 649-9479
Mailing address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
(601) 649-9479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
NULL
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
10/10/2006
Last updated
06/24/2014
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