Individual
DR. PHILIP MERIDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5815
(601) 984-5842
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11751
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125179
—
MS
Enumeration date
06/03/2006
Last updated
09/23/2016
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