Individual
JOHN DUDLEY FOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 MARSHALL ST, SUITE 208, JACKSON, MS 39202-1651
(601) 352-2273
(601) 206-6052
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17265
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012476
—
MS
Enumeration date
11/14/2006
Last updated
11/29/2021
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