Individual
JAY S PINKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
92 RATLIFF ST, LUCEDALE, MS 39452-6537
(601) 947-6000
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-6000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
21637
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04771268
—
MS
Enumeration date
07/08/2006
Last updated
10/20/2011
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