Organization
CENTRAL MS PEDIATRIC ENDOCRINOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SINCLAIR (REGIONAL MANAGER)
(601) 936-3102
Entity
Organization
Contact information
Practice address
1860 CHADWICK DR, SUITE 206, JACKSON, MS 39204-3463
(601) 376-1517
(601) 376-1546
Mailing address
1860 CHADWICK DR, SUITE 206, JACKSON, MS 39204-3463
(601) 376-1517
(601) 376-1546
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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