Organization
NEUROLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE HIGGINBOTHAM (OFFICE MANAGER)
(601) 944-1717
Entity
Organization
Contact information
Practice address
501 MARSHALL ST, STE 501, JACKSON, MS 39202-1651
(601) 355-3353
(601) 355-3365
Mailing address
PO BOX 654, MEMPHIS, TN 38159-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013343
—
MS
Enumeration date
07/26/2006
Last updated
04/01/2008
Update your record
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