Individual
SARAH ELIZABETH FILLINGIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-3061
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(251) 471-7207
(251) 471-7468
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
FILL-C9VG9V
MS
207R00000X
Internal Medicine Physician
L.5947R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2023
Last updated
07/02/2024
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