Organization
JACKSON HEART CLINIC. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE S EGGER (CEO)
(601) 982-7850
Entity
Organization
Contact information
Practice address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4640
(601) 982-7850
(601) 326-6278
Mailing address
970 LAKELAND DR, SUITE 61, JACKSON, MS 39216-4640
(601) 982-7850
(601) 326-6278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011314
—
MS
Enumeration date
05/31/2006
Last updated
04/10/2014
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