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Individual

MRS. MEREDITH GORE WARF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 949-9113
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 949-9113

Taxonomy

Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
PT4513
MS

Other

Enumeration date
11/12/2009
Last updated
11/17/2011
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