Individual
JOSE AUGUSTO HENAO CORREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
860 S MADISON ST, TUPELO, MS 38801-4905
(662) 377-7150
Mailing address
808 VARSITY DR, TUPELO, MS 38801-4613
(662) 377-3204
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
31658
MS
Other
Enumeration date
08/22/2016
Last updated
10/31/2023
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