Individual
EVA MACKENZIE CARMODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 N STATE ST SUITE 502, JACKSON, MS 39202
(601) 944-1781
Mailing address
1190 N STATE ST, SUITE 502, JACKSON, MS 39202
(601) 944-1781
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
MS
Other
Enumeration date
01/16/2020
Last updated
01/16/2020
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