Individual
LINDA P MONROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NORTH STATE STREET, DEPARTMENT OF MEDICINE DIVISION OF HYPERTENSION, JACKSON, MS 39216-4505
(601) 984-6850
(601) 984-6853
Mailing address
2500 NORTH STATE STREET, DIVISION OF HYPERTENSION, JACKSON, MS 39225-4146
(601) 984-6850
(601) 984-6853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11391
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08751806
—
MS
05
—
2408429
—
LA
01
—
P01212516
RAILROAD MEDICARE
MS
Enumeration date
09/21/2006
Last updated
01/29/2016
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