Individual
JEREMY CLARK SCREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4210 LINCOLN RD, HATTIESBURG, MS 39402-3093
(601) 261-3500
(601) 579-5240
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 261-3500
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
29294
MS
2080P0206X
Pediatric Gastroenterology Physician
37992
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02181532
—
MS
Enumeration date
05/30/2007
Last updated
05/06/2022
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