Individual
MS. CHRISTA DARLENE BOWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST., JACKSON, MS 39216
(601) 984-5601
Mailing address
2500 N STATE ST., JACKSON, MS 39216
(601) 984-5601
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
904-L
MS
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
05/30/2014
Last updated
07/23/2014
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