Diana L Entrekin, MD

NPI #1073536785 in Jackson, Mississippi

Provider Information

NPI Number: 1073536785
Entity Type: Individual
Name: Diana L Entrekin, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jul 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1777 ELLIS AVE
City: Jackson
State: Mississippi
ZIP Code: 39204-3616
Phone: (601) 371-0400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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