Individual
JULIA ENOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1292
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
28978
MS
Other
Enumeration date
03/28/2016
Last updated
01/27/2022
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