Organization
RH EMERGENCY MEDICINE OF JEFFERSON DAVIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER KATHRYN WAKEFORD (ENTERPRISE CFO)
(205) 901-5103
Entity
Organization
Contact information
Practice address
1102 ROSE ST, PRENTISS, MS 39474-5200
(601) 792-4276
Mailing address
PO BOX 7058, TUPELO, MS 38802-7058
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
09/26/2024
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