Individual
DR. BRENDAN SEAN ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1549
Mailing address
231 WINGED FOOT CIR, JACKSON, MS 39211-2530
(601) 977-0739
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
14593
MS
Other
Enumeration date
07/14/2006
Last updated
10/02/2007
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