Individual
DR. HARRIETTE HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5373
(601) 984-5476
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5373
(601) 984-5476
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
10467
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016778
—
MS
01
—
08103071
UP MEDICAID GROUP PROV#
MS
05
—
09014712
—
MS
01
—
160020083
RR MEDICARE NUMBER
MS
05
—
179517
—
AL
05
—
1990574
—
LA
01
—
512G700003
UP MEDICARE GROUP PROV#
MS
01
—
512I160009
MEDICARE PTAN
MS
01
—
DG7781
UP GRP RR MEDICARE NUMBER
MS
01
—
P00615908
UP INDV RR MEDICARE NUMBER
MS
01
—
P01236757
RAILROAD MEDICARE PTAN
MS
Enumeration date
07/04/2006
Last updated
12/22/2015
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