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Organization
JACKSON PUBLIC SCHOOLS DBA BOYD CLINIC
Active
Organization
JACKSON PUBLIC SCHOOLS DBA BOYD CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARL WATKINS PH.D. (SUPERINTENDENT)
(601) 960-8700
Entity
Organization
Contact information
Practice address
4531 BROADMEADOW DR, JACKSON, MS 39206-5904
(601) 321-0539
(601) 321-0557
Mailing address
662 S PRESIDENT ST, JACKSON, MS 39201-5601
(601) 960-8705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R865354
MS
Other
Enumeration date
02/21/2007
Last updated
08/22/2020
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