Individual
DR. RACHAEL W. FAUGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6665
Mailing address
2500 N STATE ST, DEPARTMENT OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6665
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-2308
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T-2308
MS TEMPORARY MEDICAL LICENSE
MS
Enumeration date
07/02/2010
Last updated
07/02/2010
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