Organization
UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD HALL PH.D. (CHAIR)
(601) 984-1801
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4353
(601) 984-1233
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-4353
(601) 984-1233
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
YAX868122276M
—
MS
Enumeration date
08/19/2016
Last updated
08/19/2016
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