Individual
DR. TERESA M. CROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
Mailing address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
23267
MS
207RR0500X
Rheumatology Physician
Primary
23267
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07781264
—
MS
Enumeration date
07/05/2011
Last updated
02/28/2018
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