Individual
JASON PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE, DIVISION OF INFECTIOUS DISEASE, JACKSON, MS 39216-4505
(601) 984-5560
(601) 984-5565
Mailing address
2500 N STATE ST, DIVISION OF INFECTIOUS DISEASE, JACKSON, MS 39216-4500
(601) 984-5560
(601) 984-5565
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
17299
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02601201
—
MS
Enumeration date
07/16/2006
Last updated
03/01/2016
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