Organization
UNIV PREV MED ASSOCS PLLC
Active
Parent organization
UNIVERSITY PHYSICIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY PHYSICIANS
Authorized official
MISS SARA STUBBS (SUPERVISOR BILLING AND COLLECTIONS)
(601) 984-1925
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1925
(601) 984-1916
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1925
(601) 984-1916
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014153
—
MS
Enumeration date
05/14/2007
Last updated
07/21/2022
Update your record
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