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Individual

PATRICK BYNUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4890 HIGHWAY 18 W, JACKSON, MS 39209-9666
(601) 301-5385
Mailing address
498 HIGHWAY 80 E, CLINTON, MS 39056-4720
(601) 924-4000
(601) 924-3360

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16904
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122589
MS
Enumeration date
07/20/2006
Last updated
04/14/2026
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