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Jackson Pediatric Associates
Specialist in Ridgeland, Mississippi
NPI 1457484594

Jackson Pediatric Associates is a Specialist based in Ridgeland, MS. Jackson Pediatric Associates practices in Ridgeland, MS. The NPI Number for Jackson Pediatric Associates is 1457484594 and holds a License No. 12555 (Mississippi).

The current practice location address for Jackson Pediatric Associates is 297 Highway 51 Ste B, Ridgeland, MS and can be reached out via phone at 601-707-5381 and via fax at 601-707-5382.

Location: 297 Highway 51 Ste B, Ridgeland, MS, 39157-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457484594
Provider Name
Jackson Pediatric Associates
Credential
Provider Entity Type
Organization
Address
297 Highway 51 Ste B, Ridgeland, MS, 39157-3423
Phone Number
601-707-5381
Fax Number
601-707-5382
Provider Enumeration Date
03/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09015867 05 MS
institution
Provider Business Practice Location Address Details
Address
297 Highway 51 Ste B
City
Ridgeland
State
Mississippi
Zip
39157-3423
Phone Number
601-707-5381
Fax Number
601-707-5382
person
Provider Business Mailing Address Details
Address
297 Highway 51 Ste B
City
Ridgeland
State
Mississippi
Zip
39157-3423
Phone Number
601-707-5381
Fax Number
601-707-5382
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12555 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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