Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID PUTT (CHIEF EXECUTIVE OFFICER)
(601) 984-4173
Entity
Organization
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(866) 842-7574
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(866) 842-7574
(601) 815-6301
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
09/21/2005
Last updated
04/01/2011
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