Individual
DR. JACOB IRA MORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
104 PERRY WILLIAMS RD, MADISON, MS 39110-8307
(601) 906-8434
Mailing address
104 PERRY WILLIAMS RD, MADISON, MS 39110-8307
(601) 906-8434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
BP10060356
TX
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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