Organization
MEDICAL CLINIC OF MISSISSIPPI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DINESH KUMAN GOEL M.D., (DOCTOR)
(601) 957-5150
Entity
Organization
Contact information
Practice address
6050 I-55 NORTH FRONTAGE RD, JACKSON, MS 39211
(601) 957-5150
(601) 957-5161
Mailing address
6050 I-55 NORTH FRONTAGE RD, JACKSON, MS 39211
(601) 957-5150
(601) 957-5161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07606
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014739
—
MS
Enumeration date
05/30/2008
Last updated
05/30/2008
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