Individual
DR. TREVOR REED PICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 960-4586
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
20138
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01239255
—
MS
01
—
P00759915
MEDICARE RR
MS
Enumeration date
02/20/2007
Last updated
11/17/2011
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