Individual
AKEELEIN FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 884-5153
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 884-5153
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
T-5517
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2024
Last updated
07/23/2024
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