Organization
JACKSON MED TECHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELTON A. DEAN JR. (OWNER)
(601) 624-1318
Entity
Organization
Contact information
Practice address
2080 DUNBARTON DR, SUITE C, JACKSON, MS 39216-5016
(601) 624-1318
Mailing address
PO BOX 320531, FLOWOOD, MS 39232-0531
(601) 362-6898
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
08/17/2006
Last updated
08/22/2020
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