Individual
ADAM WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1472
Mailing address
618 RED OAK DR, MADISON, MS 39110-9513
(601) 953-9820
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
902880
MS
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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