Individual
DR. JILL M WOODLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, DEPT OF PATHOLOGY, JACKSON, MS 39216-4500
(601) 984-6426
(601) 984-6439
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1530
(601) 984-1531
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
08581
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125027
—
MS
05
—
178238
—
AL
Enumeration date
01/16/2006
Last updated
11/10/2015
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