Individual
JAKARIUS CORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1729 HOLLY LN, GREENVILLE, MS 38701-7533
(662) 537-8249
Mailing address
1729 HOLLY LN, GREENVILLE, MS 38701-7533
(662) 537-8249
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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