Individual
DR. ELIZABETH BRICKELL HAIRSTON MAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5200
Mailing address
1611 PIEDMONT ST, JACKSON, MS 39202-1342
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21090
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05471776
—
MS
Enumeration date
06/29/2007
Last updated
06/15/2012
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