Individual
XIAOHONG SI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-4775
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216-4500
(601) 815-4775
(601) 984-6451
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
20483
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05035791
—
MS
Enumeration date
08/18/2007
Last updated
11/26/2013
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