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Individual

MR. MARK A DANCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
DANC-D5HFKH
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
DANC-D5HFKH
MS

Other

Enumeration date
10/14/2019
Last updated
10/14/2019
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