Individual
DR. SHUNTAYE DANIELLE BATSON
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) 984-5100
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1312
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
22896
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06420342
—
MS
05
—
178560
—
AL
Enumeration date
09/04/2008
Last updated
01/05/2016
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