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Organization
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD HALL PH.D. (CHAIR)
(601) 984-1801
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4353
(601) 984-1233
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4353
(601) 984-1233
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YAX868122276M
—
MS
Enumeration date
08/19/2016
Last updated
08/19/2016
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