Individual
CARVER ODOM MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6525
(601) 984-5151
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
T-5149
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/27/2023
Last updated
07/20/2023
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