Organization
CAPITAL CITY ENDOCRINE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTE SANDIFER KUM-NJI MD (OWNER)
(601) 895-0000
Entity
Organization
Contact information
Practice address
4755 I 55 N, JACKSON, MS 39206-5602
(601) 895-0000
(601) 895-0001
Mailing address
4755 I 55 N, JACKSON, MS 39206
(601) 895-0000
(601) 895-0001
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
01/29/2022
Last updated
06/08/2023
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