Individual
DR. JUSTIN PARKER BUFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 LAKELAND DR, DEPT OF EMERGENCY MEDICINE, JACKSON, MS 39216-4606
(601) 200-6175
(601) 200-2020
Mailing address
PO BOX 23457, JACKSON, MS 39225-3457
(601) 200-6175
(601) 200-2020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20648
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228017
—
MS
05
—
1889784
—
LA
Enumeration date
06/07/2007
Last updated
06/05/2020
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