person
Jacob Park, MD
Student in an Organized Health Care Education/Training Program in Hattiesburg, Mississippi
NPI 1013777903

Jacob Park is a Student in an Organized Health Care Education/Training Program based in Hattiesburg, MS. Jacob Park practices in Hattiesburg, MS and has the professional credentials of MD. The NPI Number for Jacob Park is 1013777903 and holds a License No. (Mississippi).

The current practice location address for Jacob Park is 6051 U S Highway 49, Hattiesburg, MS and can be reached out via phone at 601-288-7000.

Location: 6051 U S Highway 49, Hattiesburg, MS, 39401-7200
person
Provider Profile Details
NPI Number
1013777903
Provider Name
Jacob Park
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
6051 U S Highway 49, Hattiesburg, MS, 39401-7200
Phone Number
601-288-7000
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
6051 U S Highway 49
City
State
Zip
39401-7200
Phone Number
601-288-7000
Fax Number
person
Provider Business Mailing Address Details
Address
6051 U S Highway 49
City
State
Zip
39401-7200
Phone Number
601-288-7000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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