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Individual

DANA LORRAINE-JONES CARBO BRYANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M. D.

Contact information

Practice address
1824 HOSPITAL DR, JACKSON, MS 39204-3410
(601) 346-4586
(601) 346-4587
Mailing address
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157-3423
(601) 707-5381
(601) 707-5382

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
14514
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00115571
MS
Enumeration date
03/14/2007
Last updated
11/16/2011
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