Organization
EMERGENCY MEDICINE ASSOCIATES OF JACKSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ZOOG M.D. (MANAGING PARTNER)
(601) 936-6001
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 936-6001
(601) 936-4389
Mailing address
PO BOX 16076, JACKSON, MS 39236-6076
(601) 936-6001
(601) 936-4389
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015728
—
MS
Enumeration date
09/14/2006
Last updated
11/12/2010
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