Individual
DR. JOHN TODD NIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5102
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
37263
MS
208600000X
Surgery Physician
Primary
4351046628
MI
2086S0129X
Vascular Surgery Physician
Primary
7263
MS
Other
Enumeration date
06/30/2020
Last updated
07/02/2026
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