Organization
JACKSON HMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD V JOHNSON (VICE PRESIDENT)
(601) 346-5058
Entity
Organization
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 346-5044
Mailing address
130 SOUTHPOINTE DR # D, BYRAM, MS 39272-5565
(601) 346-5044
(601) 346-5058
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
09/11/2025
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