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Organization

MS PATHOLOGY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES CAVETT M.D (LAB)
(601) 968-3070
Entity
Organization

Contact information

Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-3070
(601) 974-6286
Mailing address
PO BOX 2153, DEPT. 1950, BIRMINGHAM, AL 35287
(601) 944-1717
(601) 944-9780

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014369
MS
01
P00063565
MEDICARE RAILROAD
MS
Enumeration date
05/03/2006
Last updated
07/21/2022
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