Individual
DR. BARBARA ANN FEDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 363-4471
(601) 364-1278
Mailing address
702 OLD SQUARE CT, RIDGELAND, MS 39157-1606
(601) 331-0819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
04-2237
KS
207R00000X
Internal Medicine Physician
Primary
H 1867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-22437
STATE PHYSICIAN LICENSCE
KS
01
—
H 1867
STATE PHYSICIAN LICENSCE
TX
Enumeration date
07/03/2006
Last updated
09/11/2025
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