Individual
MITCHELL JEFFREY MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR STE 557, JACKSON, MS 39216-4661
(601) 200-4560
(601) 200-4580
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4560
(601) 200-4580
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
10213
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112521
—
MS
Enumeration date
02/08/2007
Last updated
05/21/2021
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