Individual
DAVID WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 981-9503
(601) 981-7895
Mailing address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 981-9503
(601) 981-7895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07734
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018913
—
MS
Enumeration date
09/06/2005
Last updated
10/31/2011
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