Organization
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN COOK (CEO)
(601) 984-4113
Entity
Organization
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-4113
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-4113
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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