Individual
DAVID RONALD SEGREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1421 N STATE ST, SUITE 304, JACKSON, MS 39202-1658
(601) 355-9537
(601) 355-6893
Mailing address
1421 N STATE ST, SUITE 304, JACKSON, MS 39202-1658
(601) 355-9537
(601) 355-6893
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
08044
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016082
—
MS
01
—
180000371
MEDICARE
MS
01
—
DC7890
RAILROAD MEDICARE
MS
Enumeration date
10/13/2006
Last updated
08/17/2010
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