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Individual

DR. JASON E PRYOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
400 HOSPITAL RD, STARKVILLE, MS 39759-2163
(662) 323-4320
(662) 615-2554
Mailing address
PO BOX 1506, STARKVILLE, MS 39760-1506
(662) 323-4320
(662) 615-2554

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21943
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04284891
MS
Enumeration date
07/08/2010
Last updated
10/01/2019
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