Individual
PEGAH HOSSEINI-CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 984-4540
(601) 984-4548
Mailing address
185 GREEN GLADES, RIDGELAND, MS 39157-8661
(601) 714-6470
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
24143
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03376839
—
MS
Enumeration date
04/14/2009
Last updated
07/15/2022
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