Organization
PEDIATRIX MEDICAL GROUP OF MISSISSIPPI, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC MASON M.D. (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
4566 S EASON BLVD, TUPELO, MS 38801-6540
(662) 377-4905
(662) 377-4906
Mailing address
1300 SAWGRASS CORPORATE PKWY, SUITE 200, SUNRISE, FL 33323-2826
(800) 243-3839
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014844
—
MS
Enumeration date
02/14/2007
Last updated
08/12/2015
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