Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Other names
University Physicians Belhaven
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN COOK (CEO)
(601) 984-6441
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JMM SUITE 2525, JACKSON, MS 39216-4500
(601) 984-6441
(601) 815-0434
Mailing address
1405 N STATE ST, SUITE 300, JACKSON, MS 39202-1642
(601) 984-4540
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
261QE0800X
Endoscopy Clinic/Center
—
—
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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