Organization
JCEP,PLLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLUFEMI OLUSOLA OKUNOREN M.D. (MEDICAL DIRECTOR)
(601) 923-6200
Entity
Organization
Contact information
Practice address
2147 HENRY HILL DR, SUITE 109, JACKSON, MS 39204-2001
(601) 923-6200
(601) 923-9111
Mailing address
PO BOX 1992, MADISON, MS 39130-1992
(601) 923-6200
(601) 923-9111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08027
MS
Other
Enumeration date
06/05/2007
Last updated
10/22/2007
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