Individual
DR. ELIZABETH ANNE CHRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-8173
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
15303
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118142
—
MS
05
—
1695378
—
LA
01
—
302I818315
MEDICARE PTAN
MS
Enumeration date
06/10/2006
Last updated
06/14/2012
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