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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
KATHERINE STACHOWICZ DO (FAMILY MEDICINE RESIDENT PHYSICIAN)
(601) 984-6800
Entity
Organization
Contact information
Practice address
764 LAKELAND DR, 2ND FLOOR, JACKSON, MS 39216-4651
(601) 984-6800
(601) 984-6812
Mailing address
764 LAKELAND DR, 2ND FLOOR, JACKSON, MS 39216-4651
(601) 984-6800
(601) 984-6812
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
T-3218
MS
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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