Individual
ROSS ALEXANDER NOSAVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-1368
Mailing address
4701 LAKELAND DR APT 23F, FLOWOOD, MS 39232-9731
(832) 715-2978
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
T-5011
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2023
Last updated
07/02/2023
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