Organization
MITCHELL MYERS, M.D.
Active
Other names
Mississippi Headache Center
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL J MYERS MD (OWNER)
(601) 982-1001
Entity
Organization
Contact information
Practice address
2906 NORTH STATE STREET, SUITE 301, JACKSON, MS 39216
(601) 982-1001
(601) 982-1288
Mailing address
POST OFFICE BOX 757, JACKSON, MS 39215
(601) 982-1001
(601) 982-1288
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10213
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112521
—
MS
Enumeration date
04/05/2010
Last updated
04/12/2010
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