Individual
DR. BO HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, SUITE B319, JACKSON, MS 39216-4500
(601) 815-3248
(601) 815-3773
Mailing address
2500 N STATE ST, SUITE B319, JACKSON, MS 39216-4500
(601) 815-3248
(601) 815-3773
Taxonomy
Speciality
Code
Description
License number
State
207WX0120X
Cornea and External Diseases Specialist Physician
Primary
18130
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06605028
—
MS
05
—
183326
—
AL
01
—
P00055094
RAILROAD MEDICARE
MS
01
—
P00462223
RAILROAD MEDICARE
MS
01
—
P01130785
RAILROAD MCR UMC
MS
Enumeration date
05/28/2006
Last updated
10/08/2018
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