Organization
G. V. SONNY MONTGOMERY VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREE BURNETT M.D. (CHIEF OF PRIMARY CARE SERVICES)
(601) 362-4471
Entity
Organization
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Mailing address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 362-4471
(601) 368-4089
Taxonomy
Speciality
Code
Description
License number
State
2865M2000X
Military General Acute Care Hospital
Primary
901359
MS
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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