Individual
JAIME UNGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
860 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-7150
(662) 377-7155
Mailing address
860 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-7150
(662) 377-7155
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16034
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119862
—
MS
Enumeration date
04/25/2006
Last updated
02/21/2011
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