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Individual

DR. JESSIE G. HARVEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6665
Mailing address
2500 N STATE ST, DEPT. OF MEDICINE, JACKSON, MS 39216-4500
(601) 984-5601
(601) 984-6665

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23269
MS
207R00000X
Internal Medicine Physician
T-2443
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08625510
MS
Enumeration date
07/06/2011
Last updated
04/29/2015
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