institution
State Of Mississippi- University Of Mississippi Medical Center
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Jackson, Mississippi
NPI 1194930693

State Of Mississippi- University Of Mississippi Medical Center is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Jackson, MS and is specialized in End-Stage Renal Disease (ESRD) Treatment. State Of Mississippi- University Of Mississippi Medical Center practices in Jackson, MS. The NPI Number for State Of Mississippi- University Of Mississippi Medical Center is 1194930693 and holds a License No. (Mississippi).

The current practice location address for State Of Mississippi- University Of Mississippi Medical Center is 350 W Woodrow Wilson Ave, Jackson, MS and can be reached out via phone at 601-815-6350 and via fax at 601-815-6348. You can also correspond with State Of Mississippi- University Of Mississippi Medical Center through the mailing address at 350 W WOODROW WILSON AVE, JACKSON, MS - 39213-7681 (mailing address contact number: 601-815-6350).

Location: 350 W Woodrow Wilson Ave, Jackson, MS, 39213-7681
institution
Provider Profile Details
NPI Number
1194930693
Provider Name
State Of Mississippi- University Of Mississippi Medical Center
Credential
Provider Entity Type
Organization
Address
350 W Woodrow Wilson Ave, Jackson, MS, 39213-7681
Phone Number
601-815-6350
Fax Number
601-815-6348
Provider Enumeration Date
05/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20256 05 MS
institution
Provider Business Practice Location Address Details
Address
350 W Woodrow Wilson Ave
City
State
Zip
39213-7681
Phone Number
601-815-6350
Fax Number
601-815-6348
person
Provider Business Mailing Address Details
Address
350 W Woodrow Wilson Ave
City
State
Zip
39213-7681
Phone Number
601-815-6350
Fax Number
601-815-6348
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
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Definition
Definition to come...
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