Individual
JOEL DALE NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 N STATE ST STE 100, JACKSON, MS 39202-2064
(769) 268-6625
Mailing address
1225 N STATE ST STE 100, JACKSON, MS 39202-2064
(769) 268-6625
(769) 268-6624
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
23979
MS
Other
Enumeration date
07/18/2011
Last updated
10/11/2023
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