Organization
FOUR CORNERS PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED KEROME TAYLOR MD (SOLE MBR)
(601) 946-9372
Entity
Organization
Contact information
Practice address
1225 N STATE ST, JACKSON, MS 39202-2064
(601) 968-1031
(601) 292-4520
Mailing address
1888 MAIN ST STE C, MADISON, MS 39110-6337
(601) 946-9372
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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