Organization
UNIVERSITY NEUROLOGY GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J. CORBETT M.D. (CHAIR AND MANAGING PARTNER)
(601) 984-5500
Entity
Organization
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-5500
(601) 984-5499
Mailing address
PO BOX 4528, JACKSON, MS 39296-4528
(601) 984-5500
(601) 984-5499
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9012340
—
MS
Enumeration date
07/31/2006
Last updated
08/15/2007
Update your record
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