Individual
JOSE ALFREDO SOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157-1021
(601) 992-9790
(601) 992-9796
Mailing address
7048 OLD CANTON RD STE 2E, RIDGELAND, MS 39157-1021
(601) 992-9790
(601) 992-9796
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA00039
MS
363AS0400X
Surgical Physician Assistant
Primary
PA039
MS
363AS0400X
Surgical Physician Assistant
PA3654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08478237
—
MS
01
—
347887903
TRICARE
—
Enumeration date
07/13/2006
Last updated
01/27/2026
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