State of Mississippi - University of Mississippi Medical Center
NPI #1013563527 in Jackson, Mississippi
Provider Information
- NPI Number
- 1013563527
- Entity Type
- Organization
- Organization Name
- State of Mississippi - University of Mississippi Medical Center
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Aug 12, 2019
- Last Updated
- Aug 12, 2019
Practice Location
- Address
- 1410 E WOODROW WILSON AVE STE I
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39216-5114
- Phone
- (601) 984-6525
Authorized Official
- Name
- JEFFREY GRIMSLEY
- Title
- CFO
- Phone
- (601) 496-9801
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Orthopaedic Surgery |
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