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Organization

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BOBBY STANLEY (PSYC RESIDENCY EDU. COORDINATOR)
(601) 815-1362
Entity
Organization

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1362
Mailing address
911 MADISON ST, JACKSON, MS 39202-2721
(662) 392-9772

Taxonomy

Speciality
Code
Description
License number
State
281P00000X
Chronic Disease Hospital
Primary

Other

Enumeration date
08/22/2013
Last updated
08/22/2013
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