Individual
DR. MABEL ZEVALLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 N STATE ST STE 270, JACKSON, MS 39202-2027
(601) 714-6470
Mailing address
965 RIDGE LAKE BLVD, MEMPHIS, TN 38120-9401
(901) 227-4692
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
19001
MS
207RG0100X
Gastroenterology Physician
Primary
N6794
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01452591
—
MS
Enumeration date
05/05/2006
Last updated
11/07/2024
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