Individual
DR. JOSEPH S MARDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
(601) 984-6451
Mailing address
PO BOX 24146, JACKSON, MS 39225-4146
(601) 815-4775
(601) 984-6451
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15863
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07957509
—
MS
Enumeration date
11/07/2006
Last updated
08/06/2010
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