Individual
JOHN JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6051 HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
410 THORNGATE DR, BRANDON, MS 39042-2334
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
11044
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06108051
—
MS
05
—
1325180
—
LA
01
—
P00774929
RAILROAD MCARE THRU IHS
MS
01
—
P00833979
RAILROAD MCARE THRU HCCN
MS
Enumeration date
06/29/2006
Last updated
09/01/2010
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