Individual
DR. JAMES EDWARD MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 364-1242
(601) 368-3904
Mailing address
253 TIMBERLINE DR, MADISON, MS 39110-9671
(601) 364-1242
(601) 368-3904
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
06828
MS
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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