Individual
CHARLES H GAYMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5250
(601) 984-5283
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5250
(601) 984-5283
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
13330
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0110773
—
MS
05
—
146523
—
AL
01
—
P01526096
RR MEDICARE PTAN
MS
Enumeration date
07/06/2006
Last updated
03/28/2025
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