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Organization
COGENT HEALTHCARE OF JACKSON MS, LLC
Active
Organization
COGENT HEALTHCARE OF JACKSON MS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN A. BROWNIE (TREASURER)
(615) 377-5630
Entity
Organization
Contact information
Practice address
969 LAKELAND DR, JACKSON, MS 39216-4606
(601) 362-4890
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1687
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/12/2006
Last updated
07/02/2008
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