Organization
JACKSON HEALTHCARE FOR WOMEN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY B KELLUM MD (PRESIDENT)
(601) 936-9190
Entity
Organization
Contact information
Practice address
291 E LAYFAIR DR, FLOWOOD, MS 39232-9527
(601) 936-9190
(601) 936-6181
Mailing address
291 E LAYFAIR DR, FLOWOOD, MS 39232-9527
(601) 936-9190
(601) 936-6181
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/20/2007
Last updated
07/02/2014
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