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Individual

DR. JERRY ROSS ADKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11516 LAMEY BRIDGE ROAD STE 1, D'ILBERVILLE, MS 39340
(228) 207-4190
(228) 207-4156
Mailing address
PO BOX 1277, BILOXI, MS 39533
(228) 207-4190
(228) 207-4156

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04305
MS
208600000X
Surgery Physician
04305
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00012155
MS
Enumeration date
06/15/2006
Last updated
02/01/2018
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