Individual
JIMMIE HERRINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1125 E FORTIFICATION ST, JACKSON, MS 39202-2438
(601) 355-7729
Mailing address
1125 E FORTIFICATION ST, JACKSON, MS 39202-2438
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2280-86MS
MS
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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