Organization
JACKSON ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE MARTIN (CREDENTIALING)
(601) 969-1171
Entity
Organization
Contact information
Practice address
1151 N STATE ST, SUITE 311, JACKSON, MS 39202
(601) 969-1171
(601) 969-6749
Mailing address
PO BOX 22656, JACKSON, MS 39225-2656
(888) 502-0531
(601) 969-6749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013225
—
MS
Enumeration date
01/18/2007
Last updated
11/18/2022
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