Individual
MS. SARA JOSEPHINE WEISENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13220
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00113691
—
MS
05
—
1662763
—
LA
Enumeration date
06/11/2006
Last updated
07/05/2022
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