Individual
DR. JOSEPHINE WYATT ASHMEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1540
(601) 984-1531
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-1540
(601) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
17447
MS
207ZP0101X
Anatomic Pathology Physician
17447
MS
207ZP0213X
Pediatric Pathology Physician
Primary
17447
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122583
—
MS
Enumeration date
06/04/2013
Last updated
12/02/2013
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