Individual
PAM JOYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 949-9110
(601) 949-9113
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 949-9110
(601) 949-9113
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
61OT030
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04387857
—
MS
Enumeration date
07/25/2006
Last updated
11/18/2011
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