Organization
MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization
MISSISSIPPI ORTHOPAEDICS & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANA LEE UNDERWOOD (OFFICE MANAGER)
(662) 890-3234
Entity
Organization
Contact information
Practice address
220 STARLYN AVE, NEW ALBANY, MS 38652-2428
(662) 534-2227
Mailing address
220 STARLYN AVE, NEW ALBANY, MS 38652-2428
(662) 534-2227
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
13955
MS
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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