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Individual

JOHN R PIEKLIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 N STATE ST, SUITE 480, JACKSON, MS 39202-1651
(601) 352-2273
(601) 714-3415
Mailing address
PO BOX 23996, JACKSON, MS 39225-3996
(601) 206-6100
(601) 206-6052

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
08139
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00019249
MS
Enumeration date
11/14/2006
Last updated
06/07/2013
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