Organization
UNIVERSITY FAMILY MEDICINE ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE K BEEBE M.D. (PROFESSOR/INTERIM CHAIRMAN)
(601) 984-5410
Entity
Organization
Contact information
Practice address
878 LAKELAND DRIVE, JACKSON, MS 39216
(601) 984-6800
(601) 984-6812
Mailing address
P.O BOX 4999, JACKSON, MS 39296
(601) 984-5410
(601) 815-3771
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014106
—
MS
05
—
09014130
—
MS
Enumeration date
09/26/2006
Last updated
07/21/2022
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