Individual
FRED H. INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1020 RIVER OAKS DR STE 310, JACKSON, MS 39232-9512
(601) 932-5006
(601) 932-4548
Mailing address
1020 RIVER OAKS DR STE 310, JACKSON, MS 39232-9512
(601) 932-5006
(601) 932-4548
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
05629
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014572
—
MS
Enumeration date
09/07/2006
Last updated
10/18/2010
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