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Individual

DR. JORGE I CALZADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7900 AIRWAYS BLVD BLDG A1, SOUTHAVEN, MS 38671-4116
(417) 889-2040
(417) 889-2041
Mailing address
7900 AIRWAYS BLVD BLDG A1, SOUTHAVEN, MS 38671-4116
(901) 522-6520
(901) 522-6521

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
19430
MS
207WX0107X
Retina Specialist (Ophthalmology) Physician
39266
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05172706
MS
01
3370388
MEDICARE GRP
MS
Enumeration date
09/20/2005
Last updated
05/01/2023
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