Individual
DR. JAMES MASON SHIFLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF NEUROSURGERY, JACKSON, MS 39216-4500
(601) 984-5700
(601) 984-6986
Mailing address
PO BOX 11407 DEPT 2130, UNIVERSITY PHYSICIANS, BIRMINGHAM, AL 35246-2130
(601) 815-2005
(601) 984-6439
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
20664
MS
207T00000X
Neurological Surgery Physician
T-1637
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00573859
—
MS
05
—
156712
—
AL
05
—
295107
—
LA
Enumeration date
06/03/2008
Last updated
03/10/2014
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