Organization
INTERNAL MEDICINE GROUP, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY H NOWELL M.D. (PRESIDENT)
(601) 982-1283
Entity
Organization
Contact information
Practice address
971 LAKELAND DR STE 250, JACKSON, MS 39216-4620
(601) 982-1283
(601) 987-9060
Mailing address
971 LAKELAND DR STE 250, JACKSON, MS 39216-4620
(601) 982-1283
(601) 987-9060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09011302
—
MS
01
—
CB0119
RAILROAD MEDICARE
MS
Enumeration date
08/01/2006
Last updated
08/22/2020
Update your record
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