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Individual

DR. GINA ELIZABETH HEATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
501 MARSHALL ST STE 500, JACKSON, MS 39202
(601) 948-1411
(601) 948-0090
Mailing address
501 MARSHALL ST STE 500, JACKSON, MS 39202-1615
(601) 948-1411
(601) 948-0090

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13529
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00120187
MS
Enumeration date
10/18/2005
Last updated
08/08/2018
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