Individual
MOBOLAJI ENIOLA FAMUYIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
2500 N STATE ST, DIVISION OF NEWBORN MEDICINE, UNIV OF MS MEDICAL CENTER, JACKSON, MS 39216-4500
(601) 984-5260
(601) 815-3666
Mailing address
2500 N STATE ST, DIVISION OF NEWBORN MEDICINE, UNIV OF MS MEDICAL CENTER, JACKSON, MS 39216-4500
(601) 984-5260
(601) 815-3666
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
20237
MS
Other
Enumeration date
03/06/2007
Last updated
07/19/2012
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