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Dr. Ruth Kellum Fredericks, MD
Neurology Physician in Jackson, Mississippi
NPI 1730138843

Ruth Kellum Fredericks is a Neurology Physician based in Jackson, MS and is specialized in Neurology. Ruth Kellum Fredericks practices in Jackson, MS and has the professional credentials of MD. The NPI Number for Ruth Kellum Fredericks is 1730138843 and holds a License No. 11722 (Mississippi).

The current practice location address for Ruth Kellum Fredericks is 971 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-200-4560 and via fax at 601-326-4632. You can also correspond with Ruth Kellum Fredericks through the mailing address at PO BOX 23666, JACKSON, MS - 39225-3666 (mailing address contact number: 601-200-4749).

Location: 971 Lakeland Dr, Jackson, MS, 39225-3666
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Provider Profile Details
NPI Number
1730138843
Provider Name
Ruth Kellum Fredericks
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
971 Lakeland Dr, Jackson, MS, 39225-3666
Phone Number
601-200-4560
Fax Number
601-326-4632
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00113670 05 MS
institution
Provider Business Practice Location Address Details
Address
971 Lakeland Dr
City
State
Zip
39216-4643
Phone Number
601-200-4560
Fax Number
601-326-4632
person
Provider Business Mailing Address Details
Address
Po Box 23666
City
State
Zip
39225-3666
Phone Number
601-200-4749
Fax Number
601-200-5929
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
COVID19-TMP-427 (Louisiana)
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.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
11722 (Mississippi)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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