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Jackson Neurosurgery Clinic, Pllc
Specialist in Flowood, Mississippi
NPI 1740364785

Jackson Neurosurgery Clinic, Pllc is a Specialist based in Flowood, MS. Jackson Neurosurgery Clinic, Pllc practices in Flowood, MS. The NPI Number for Jackson Neurosurgery Clinic, Pllc is 1740364785 and holds a License No. (Mississippi).

The current practice location address for Jackson Neurosurgery Clinic, Pllc is 1080 River Oaks Dr, Flowood, MS and can be reached out via phone at 601-366-1011 and via fax at 601-932-6111.

Location: 1080 River Oaks Dr, Flowood, MS, 39232-9779
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740364785
Provider Name
Jackson Neurosurgery Clinic, Pllc
Credential
Provider Entity Type
Organization
Address
1080 River Oaks Dr, Flowood, MS, 39232-9779
Phone Number
601-366-1011
Fax Number
601-932-6111
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
08288260 05 MS
C03059 01 MS MEDICARE GROUP
CK4238 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1080 River Oaks Dr
City
Flowood
State
Mississippi
Zip
39232-9779
Phone Number
601-366-1011
Fax Number
601-932-6111
person
Provider Business Mailing Address Details
Address
1080 River Oaks Dr
City
Flowood
State
Mississippi
Zip
39232-9779
Phone Number
601-366-1011
Fax Number
601-932-6111
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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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