Individual
DR. JESSIE ANN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1190 N STATE ST, SUITE 204, JACKSON, MS 39202-2413
(601) 973-1624
(601) 973-1596
Mailing address
PO BOX 2153, DEPT 1947, BIRMINGHAM, AL 35287-0002
(601) 944-1717
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13439R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1431923
—
LA
Enumeration date
08/12/2006
Last updated
06/09/2016
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