Individual
BOBBIE B WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 936-6001
(601) 936-4389
Mailing address
PO BOX 16076, JACKSON, MS 39236-6076
(601) 936-6001
(601) 936-4389
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
17449
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126769
—
MS
Enumeration date
06/20/2006
Last updated
07/09/2007
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