Individual
DR. MARTHA ELIZABETH FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
Mailing address
4701 LAKELAND DR APT 12C, FLOWOOD, MS 39232-9754
(870) 413-1120
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19201
MS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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