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Organization

UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMY PAXTON BLOSSOM MD (OBGYN HOUSE OFFICER)
(601) 929-5456
Entity
Organization

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5338
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5338

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
01/25/2008
Last updated
01/25/2008
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