Individual
JO P DEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
766 LAKELAND DR # A, JACKSON, MS 39216-4610
(601) 368-3440
(601) 368-3441
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
10460
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018389
—
MS
01
—
P01065367
RAILROAD MEDICARE
MS
Enumeration date
08/09/2006
Last updated
05/07/2024
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