person
Fred Wallace Rushton JR., MD
Vascular Surgery Physician in Jackson, Mississippi
NPI 1194825323

Fred Wallace Rushton JR. is a Vascular Surgery Physician based in Jackson, MS and is specialized in Vascular Surgery. Fred Wallace Rushton JR. practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Fred Wallace Rushton JR. is 1194825323 and holds a License No. 06237 (Mississippi).

The current practice location address for Fred Wallace Rushton JR. is 2500 N State St, Jackson, MS and can be reached out via phone at 601-925-6805 and via fax at 601-926-4978. You can also correspond with Fred Wallace Rushton JR. through the mailing address at 2500 N STATE ST, JACKSON, MS - 39216-4500 (mailing address contact number: 601-984-6426).

Location: 2500 N State St, Jackson, MS, 39216-4500
person
Provider Profile Details
NPI Number
1194825323
Provider Name
Fred Wallace Rushton JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 39216-4500
Phone Number
601-925-6805
Fax Number
601-926-4978
Provider Enumeration Date
09/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0013429 05 MS
020046786 GRPCG6446 01 MS RAILROAD MEDICARE
158101 05 AL
P00462318 01 MS RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-925-6805
Fax Number
601-926-4978
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-925-6805
Fax Number
601-926-4978
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
06237 (Mississippi)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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