Organization
JACKSON PULMONARY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R TODD WARREN (ADMINISTRATOR)
(601) 321-1183
Entity
Organization
Contact information
Practice address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 981-9503
(601) 982-0148
Mailing address
971 LAKELAND DR, SUITE 1052, JACKSON, MS 39216-4643
(601) 981-9503
(601) 982-0148
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
05/30/2006
Last updated
08/22/2020
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